Source	S100 HSD Public
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
5716WMP	EPOETIN ALFA epoetin alfa 6000 units/0.6 mL injection, 6 x 0.6 mL syringes (PI, CMI)	2	12	5	$790.84	$31.60	$31.60
	Available brands
	Eprex 6000

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6303RMP	EPOETIN ALFA epoetin alfa 6000 units/0.6 mL injection, 6 x 0.6 mL syringes (PI, CMI)	2	12	5	$830.85	$31.60	$31.60
	Available brands
	Eprex 6000