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
5724GMPNP	EPOETIN BETA epoetin beta 2000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$325.60	$25.00	$25.00
	Available brands
	NeoRecormon

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
5725HMPNP	EPOETIN BETA epoetin beta 3000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$420.18	$25.00	$25.00
	Available brands
	NeoRecormon

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
5726JMPNP	EPOETIN BETA epoetin beta 4000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$535.10	$25.00	$25.00
	Available brands
	NeoRecormon

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
5727KMPNP	EPOETIN BETA epoetin beta 5000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$666.18	$25.00	$25.00
	Available brands
	NeoRecormon

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
5728LMPNP	EPOETIN BETA epoetin beta 6000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$790.78	$25.00	$25.00
	Available brands
	NeoRecormon

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
5729MMPNP	EPOETIN BETA epoetin beta 10 000 units/0.6 mL injection, 6 x 0.6 mL syringes (PI, CMI)	2	12	5	$1,241.36	$25.00	$25.00
	Available brands
	NeoRecormon

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
6480CMPNP	EPOETIN BETA epoetin beta 2000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$347.50	$25.00	$25.00
	Available brands
	NeoRecormon

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
6481DMPNP	EPOETIN BETA epoetin beta 3000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$445.86	$25.00	$25.00
	Available brands
	NeoRecormon

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
6482EMPNP	EPOETIN BETA epoetin beta 4000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$565.38	$25.00	$25.00
	Available brands
	NeoRecormon

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
6483FMPNP	EPOETIN BETA epoetin beta 5000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$701.70	$25.00	$25.00
	Available brands
	NeoRecormon

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
6484GMPNP	EPOETIN BETA epoetin beta 6000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$831.30	$25.00	$25.00
	Available brands
	NeoRecormon

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
6485HMPNP	EPOETIN BETA epoetin beta 10 000 units/0.6 mL injection, 6 x 0.6 mL syringes (PI, CMI)	2	12	5	$1,290.24	$25.00	$25.00
	Available brands
	NeoRecormon