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

Caution

Note

Authority Required

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
10386PMP	POMALIDOMIDE pomalidomide 4 mg capsule, 21 (PI, CMI)	1	21	0	$2351.02	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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

Caution

Note

Authority Required

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
10387QMP	POMALIDOMIDE pomalidomide 4 mg capsule, 21 (PI, CMI)	1	21	0	$2302.14	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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

Caution

Note

Authority Required

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
10406QMP	POMALIDOMIDE pomalidomide 3 mg capsule, 21 (PI, CMI)	1	21	0	$1726.61	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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

Caution

Note

Authority Required

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
10417GMP	POMALIDOMIDE pomalidomide 3 mg capsule, 21 (PI, CMI)	1	21	0	$1775.49	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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

Caution

Note

Authority Required

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
11029LMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$458.82	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
11036WMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$486.05	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
11041DMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$947.16	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
11042EMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$761.79	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
11055WMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$993.93	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
11062FMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$723.95	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
11063GMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$634.00	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
11064HMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$601.08	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
12004TMP	LENALIDOMIDE lenalidomide 10 mg capsule, 14 (PI, CMI)	1	14	3	$425.63	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

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

Caution

Note

Authority Required

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
12038NMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	1	$486.05	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
12050FMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	1	$634.00	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
12058PMP	LENALIDOMIDE lenalidomide 5 mg capsule, 14 (PI, CMI)	1	14	3	$327.00	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

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

Caution

Note

Authority Required

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
12060RMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	3	$634.00	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
12071HMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	3	$486.05	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
5783JMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$458.82	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
5784KMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$601.08	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
5785LMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$723.95	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
5786MMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$947.16	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
9642LMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$486.05	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
9643MMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$634.00	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
9644NMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$761.79	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

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

Caution

Note

Authority Required

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
9645PMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$993.93	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid