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

Caution

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
6109MMP	CICLOSPORIN ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules (PI, CMI)	1	10	0	$66.98	$25.00	$25.00
	Available brands
	Sandimmun

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

Caution

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
6125JMP	CICLOSPORIN ciclosporin 100 mg/mL oral liquid, 50 mL (PI, CMI)	4	4	5	$1,312.04	$25.00	$25.00
	Available brands
	Neoral

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

Caution

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
6232BMP	CICLOSPORIN ciclosporin 10 mg capsule, 60 (PI, CMI)	2	120	5	$87.28	$25.00	$25.00
	Available brands
	Neoral 10

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

Caution

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
6352HMP	CICLOSPORIN ciclosporin 25 mg capsule, 30 (PI, CMI)	4	120	5	$101.04	$25.00	$25.00
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Neoral 25a

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

Caution

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
6353JMP	CICLOSPORIN ciclosporin 50 mg capsule, 30 (PI, CMI)	4	120	5	$199.68	$25.00	$25.00
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Neoral 50a

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

Caution

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
6354KMP	CICLOSPORIN ciclosporin 100 mg capsule, 30 (PI, CMI)	4	120	5	$397.64	$25.00	$25.00
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Neoral 100a