EPOETIN ALFA

Source S100 HSD Public
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
5713QMP EPOETIN ALFA
epoetin alfa 20 000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)
2 12 5 $2982.68 $42.50 $42.50
Available brands
Eprex 20,000
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EPOETIN ALFA

Source S100 HSD Public
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
5714RMP EPOETIN ALFA
epoetin alfa 1000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)
2 12 5 $214.92 $42.50 $42.50
Available brands
Eprex 1000
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EPOETIN ALFA

Source S100 HSD Public
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
5715TMP EPOETIN ALFA
epoetin alfa 5000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)
2 12 5 $813.66 $42.50 $42.50
Available brands
Eprex 5000
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EPOETIN ALFA

Source S100 HSD Public
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
5716WMP EPOETIN ALFA
epoetin alfa 6000 units/0.6 mL injection, 6 x 0.6 mL syringes (PI, CMI)
2 12 5 $965.86 $42.50 $42.50
Available brands
Eprex 6000
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EPOETIN ALFA

Source S100 HSD Public
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
5717XMP EPOETIN ALFA
epoetin alfa 8000 units/0.8 mL injection, 6 x 0.8 mL syringes (PI, CMI)
2 12 5 $1252.72 $42.50 $42.50
Available brands
Eprex 8000
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EPOETIN ALFA

Source S100 HSD Public
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
5718YMP EPOETIN ALFA
epoetin alfa 40 000 units/mL injection, 1 mL syringe (PI, CMI)
2 2 5 $964.98 $42.50 $42.50
Available brands
Eprex 40,000
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EPOETIN ALFA

Source S100 HSD Public
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
5719BMP EPOETIN ALFA
epoetin alfa 2000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)
2 12 5 $397.70 $42.50 $42.50
Available brands
Eprex 2000
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EPOETIN ALFA

Source S100 HSD Public
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
5720CMP EPOETIN ALFA
epoetin alfa 3000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)
2 12 5 $513.20 $42.50 $42.50
Available brands
Eprex 3000
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EPOETIN ALFA

Source S100 HSD Public
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
5721DMP EPOETIN ALFA
epoetin alfa 4000 units/0.4 mL injection, 6 x 0.4 mL syringes (PI, CMI)
2 12 5 $653.56 $42.50 $42.50
Available brands
Eprex 4000
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EPOETIN ALFA

Source S100 HSD Public
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
5722EMP EPOETIN ALFA
epoetin alfa 10 000 units/mL injection, 6 x 1 mL syringes (PI, CMI)
2 12 5 $1516.18 $42.50 $42.50
Available brands
Eprex 10000
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EPOETIN ALFA

Source S100 HSD Private
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
6204MMP EPOETIN ALFA
epoetin alfa 2000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)
2 12 5 $421.42 $42.50 $42.50
Available brands
Eprex 2000
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EPOETIN ALFA

Source S100 HSD Private
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
6205NMP EPOETIN ALFA
epoetin alfa 3000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)
2 12 5 $541.54 $42.50 $42.50
Available brands
Eprex 3000
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EPOETIN ALFA

Source S100 HSD Private
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
6206PMP EPOETIN ALFA
epoetin alfa 4000 units/0.4 mL injection, 6 x 0.4 mL syringes (PI, CMI)
2 12 5 $687.52 $42.50 $42.50
Available brands
Eprex 4000
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EPOETIN ALFA

Source S100 HSD Private
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
6207QMP EPOETIN ALFA
epoetin alfa 10 000 units/mL injection, 6 x 1 mL syringes (PI, CMI)
2 12 5 $1564.00 $42.50 $42.50
Available brands
Eprex 10000
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EPOETIN ALFA

Source S100 HSD Private
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
6251BMP EPOETIN ALFA
epoetin alfa 1000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)
2 12 5 $231.34 $42.50 $42.50
Available brands
Eprex 1000
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EPOETIN ALFA

Source S100 HSD Private
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
6302QMP EPOETIN ALFA
epoetin alfa 5000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)
2 12 5 $854.02 $42.50 $42.50
Available brands
Eprex 5000
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EPOETIN ALFA

Source S100 HSD Private
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
6303RMP EPOETIN ALFA
epoetin alfa 6000 units/0.6 mL injection, 6 x 0.6 mL syringes (PI, CMI)
2 12 5 $1012.32 $42.50 $42.50
Available brands
Eprex 6000
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EPOETIN ALFA

Source S100 HSD Private
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
6305WMP EPOETIN ALFA
epoetin alfa 8000 units/0.8 mL injection, 6 x 0.8 mL syringes (PI, CMI)
2 12 5 $1300.54 $42.50 $42.50
Available brands
Eprex 8000
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EPOETIN ALFA

Source S100 HSD Private
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
6339PMP EPOETIN ALFA
epoetin alfa 40 000 units/mL injection, 1 mL syringe (PI, CMI)
2 2 5 $1011.40 $42.50 $42.50
Available brands
Eprex 40,000
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EPOETIN ALFA

Source S100 HSD Private
Body System BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS
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
6434PMP EPOETIN ALFA
epoetin alfa 20 000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)
2 12 5 $3030.50 $42.50 $42.50
Available brands
Eprex 20,000
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  • MPMedical Practitioner