Source	S100 IVF
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > GONADOTROPINS AND OTHER OVULATION STIMULANTS

Note

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
6335KMP	FOLLITROPIN BETA follitropin beta 300 units/0.36 mL injection, 0.36 mL cartridge (PI, CMI)	2	2	0	$198.96	$31.60	$31.60
	Available brands
	Puregon 300 IU/0.36 mL

Source	S100 IVF
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > GONADOTROPINS AND OTHER OVULATION STIMULANTS

Note

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
6336LMP	FOLLITROPIN BETA follitropin beta 600 units/0.72 mL injection, 0.72 mL cartridge (PI, CMI)	4	4	0	$750.68	$31.60	$31.60
	Available brands
	Puregon 600 IU/0.72 mL

Source	S100 IVF
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > GONADOTROPINS AND OTHER OVULATION STIMULANTS

Note

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
6464FMP	FOLLITROPIN BETA follitropin beta 900 units/1.08 mL injection, 1.08 mL cartridge (PI, CMI)	5	5	0	$1374.33	$31.60	$31.60
	Available brands
	Puregon 900 IU/1.08 mL

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > GONADOTROPINS AND OTHER OVULATION STIMULANTS

Note

Restricted Benefit

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
8565TMP	FOLLITROPIN BETA follitropin beta 300 units/0.36 mL injection, 0.36 mL cartridge (PI, CMI)	3	3	5	$318.27	$31.60	$31.60
	Available brands
	Puregon 300 IU/0.36 mL

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > GONADOTROPINS AND OTHER OVULATION STIMULANTS

Note

Restricted Benefit

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
8566WMP	FOLLITROPIN BETA follitropin beta 600 units/0.72 mL injection, 0.72 mL cartridge (PI, CMI)	2	2	5	$411.42	$31.60	$31.60
	Available brands
	Puregon 600 IU/0.72 mL

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > GONADOTROPINS AND OTHER OVULATION STIMULANTS

Note

Restricted Benefit

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
8871XMP	FOLLITROPIN BETA follitropin beta 900 units/1.08 mL injection, 1.08 mL cartridge (PI, CMI)	2	2	5	$607.34	$31.60	$31.60
	Available brands
	Puregon 900 IU/1.08 mL