Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5631JMP	CICLOSPORIN ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules (PI, CMI)	1	10	0	$54.10	$31.60	$31.60
	Available brands
	Sandimmun

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5632KMP	CICLOSPORIN ciclosporin 10 mg capsule, 60 (PI, CMI)	2	120	5	$74.40	$31.60	$31.60
	Available brands
	Neoral 10

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5633LMP	CICLOSPORIN ciclosporin 100 mg/mL oral liquid, 50 mL (PI, CMI)	4	4	5	$1263.16	$31.60	$31.60
	Available brands
	Neoral

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5634MMP	CICLOSPORIN ciclosporin 25 mg capsule, 30 (PI, CMI)	4	120	5	$88.16	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	Cyclosporin Sandoza
	Neoral 25a

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5635NMP	CICLOSPORIN ciclosporin 50 mg capsule, 30 (PI, CMI)	4	120	5	$183.48	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	Cyclosporin Sandoza
	Neoral 50a

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5636PMP	CICLOSPORIN ciclosporin 100 mg capsule, 30 (PI, CMI)	4	120	5	$373.80	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	Cyclosporin Sandoza
	Neoral 100a