Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5480KMPNP	VALACICLOVIR valaciclovir 500 mg tablet, 30 (PI, CMI)	1	30	5	$26.36	$27.81	$31.26
	Available brands
	APX-Valaciclovira
	Shilova 500a
	VALACICLOVIR-WGRa
	Vaclovira
	Valaciclovir APOTEXa
	Valaciclovir RBXa
	Valaciclovir SZa
	Valaciclovir Sandoza
	Valaciclovir generichealtha
	Valacor 500a
	Zelitrexa
	Valtrexa * Additional charge for this brand is $2.43B	1	30	5	$28.79	$27.81	$33.69

Source	S100 HSD Private
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
6280MMP	VALACICLOVIR valaciclovir 500 mg tablet, 100 (PI, CMI)	5	500	2	$216.67	$31.60	$31.60
	Available brands
	APX-Valaciclovira
	Valaciclovir APOTEXa
	Valaciclovir RBXa
	Valtrexa * Additional charge for this brand is $14.05B	5	500	2	$230.72	$31.60	$45.65

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8064KMPNP	VALACICLOVIR valaciclovir 500 mg tablet, 42 (PI, CMI)	1	42	0	$31.52	$31.60	$31.60
	Available brands
	APX-Valaciclovira
	VALACICLOVIR-WGRa
	Vaclovira
	Valaciclovir APOTEXa
	Valaciclovir RBXa
	Valaciclovir Sandoza
	Valaciclovir generichealtha
	Valacor 500a
	Zelitrexa
	Valtrexa * Additional charge for this brand is $2.43B	1	42	0	$33.95	$31.60	$34.03

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8133CMPNP	VALACICLOVIR valaciclovir 500 mg tablet, 10 (PI, CMI)	2	20	0	$22.07	$23.52	$26.97
	Available brands
	APX-Valaciclovira
	VALACICLOVIR-WGRa
	Vaclovira
	Valaciclovir APOTEXa
	Valaciclovir Sandoza
	Zelitrexa
	Valtrexa * Additional charge for this brand is $5.40B	2	20	0	$27.47	$23.52	$32.37

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8134DMPNP	VALACICLOVIR valaciclovir 500 mg tablet, 30 (PI, CMI)	1	30	5	$26.36	$27.81	$31.26
	Available brands
	APX-Valaciclovira
	Shilova 500a
	VALACICLOVIR-WGRa
	Vaclovira
	Valaciclovir APOTEXa
	Valaciclovir RBXa
	Valaciclovir SZa
	Valaciclovir Sandoza
	Valaciclovir generichealtha
	Valacor 500a
	Zelitrexa
	Valtrexa * Additional charge for this brand is $2.43B	1	30	5	$28.79	$27.81	$33.69

Source	S100 HSD Public
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
9568NMP	VALACICLOVIR valaciclovir 500 mg tablet, 100 (PI, CMI)	5	500	2	$200.00	$31.60	$31.60
	Available brands
	APX-Valaciclovira
	Valaciclovir APOTEXa
	Valaciclovir RBXa
	Valtrexa * Additional charge for this brand is $13.50B	5	500	2	$213.50	$31.60	$45.10