Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
5780FMP	LANTHANUM lanthanum 500 mg chewable tablet, 2 x 45 (PI, CMI)	2	180	5	$330.80	$31.60	$31.60
	Available brands
	Fosrenol

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
5781GMP	LANTHANUM lanthanum 750 mg chewable tablet, 6 x 15 (PI, CMI)	2	180	5	$499.52	$31.60	$31.60
	Available brands
	Fosrenol

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
5782HMP	LANTHANUM lanthanum 1 g chewable tablet, 6 x 15 (PI, CMI)	2	180	5	$562.34	$31.60	$31.60
	Available brands
	Fosrenol

Source	General Schedule
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
9403XMPNP	LANTHANUM lanthanum 500 mg chewable tablet, 2 x 45 (PI, CMI)	1	90	5	$195.52	$31.60	$31.60
	Available brands
	Fosrenol

Source	General Schedule
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
9404YMPNP	LANTHANUM lanthanum 750 mg chewable tablet, 6 x 15 (PI, CMI)	1	90	5	$290.76	$31.60	$31.60
	Available brands
	Fosrenol

Source	General Schedule
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
9405BMPNP	LANTHANUM lanthanum 1 g chewable tablet, 6 x 15 (PI, CMI)	1	90	5	$326.22	$31.60	$31.60
	Available brands
	Fosrenol

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
9635DMP	LANTHANUM lanthanum 500 mg chewable tablet, 2 x 45 (PI, CMI)	2	180	5	$352.92	$31.60	$31.60
	Available brands
	Fosrenol

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
9636EMP	LANTHANUM lanthanum 750 mg chewable tablet, 6 x 15 (PI, CMI)	2	180	5	$528.38	$31.60	$31.60
	Available brands
	Fosrenol

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
9637FMP	LANTHANUM lanthanum 1 g chewable tablet, 6 x 15 (PI, CMI)	2	180	5	$593.72	$31.60	$31.60
	Available brands
	Fosrenol