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
6216EMP	TACROLIMUS tacrolimus 1 mg capsule, 100 (PI, CMI)	2	200	5	$402.81	$30.00	$30.00
	Available brands
	Pacrolima
	Pharmacor Tacrolimus 1a
	Prografa
	Tacrografa
	Tacrolimus Sandoza

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
6217FMP	TACROLIMUS tacrolimus 5 mg capsule, 50 (PI, CMI)	2	100	5	$993.93	$30.00	$30.00
	Available brands
	Pharmacor Tacrolimus 5a
	Prografa
	Tacrografa
	Tacrolimus Sandoza

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
6328CMP	TACROLIMUS tacrolimus 500 microgram capsule, 100 (PI, CMI)	2	200	5	$205.57	$30.00	$30.00
	Available brands
	Pacrolima
	Pharmacor Tacrolimus 0.5a
	Prografa
	Tacrografa
	Tacrolimus Sandoza