Source	Section 100 (CT)
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

Note

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
5890BMP	FOLINIC ACID folinic acid 50 mg/5 mL injection, 5 mL vial (PI, CMI)	10	10	2	$195.00	$31.60	$31.60
	Available brands
	DBL Leucovorin Calciuma

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

Note

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
8740BMP	FOLINIC ACID folinic acid 50 mg/5 mL injection, 5 mL vial (PI, CMI)	10	10	2	$228.98	$31.60	$31.60
	Available brands
	DBL Leucovorin Calciuma