SIROLIMUS

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
6436RMP SIROLIMUS
sirolimus 1 mg tablet, 100 (PI, CMI)
2 200 5 $1222.86 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
6437TMP SIROLIMUS
sirolimus 1 mg/mL oral liquid, 60 mL (PI, CMI)
2 2 5 $968.80 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
6457WMP SIROLIMUS
sirolimus 2 mg tablet, 100 (PI, CMI)
2 200 5 $2397.94 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
8724EMP SIROLIMUS
sirolimus 1 mg tablet, 100 (PI, CMI)
1 100 3 $670.43 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
8725FMP SIROLIMUS
sirolimus 1 mg/mL oral liquid, 60 mL (PI, CMI)
1 1 3 $528.73 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
8833XMP SIROLIMUS
sirolimus 2 mg tablet, 100 (PI, CMI)
1 100 3 $1297.80 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
8984WMP SIROLIMUS
sirolimus 500 microgram tablet, 100 (PI, CMI)
1 100 3 $338.79 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
9548MMP SIROLIMUS
sirolimus 2 mg tablet, 100 (PI, CMI)
2 200 5 $2350.12 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
9549NMP SIROLIMUS
sirolimus 1 mg tablet, 100 (PI, CMI)
2 200 5 $1175.04 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
9550PMP SIROLIMUS
sirolimus 1 mg/mL oral liquid, 60 mL (PI, CMI)
2 2 5 $924.02 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
9747BMP SIROLIMUS
sirolimus 500 microgram tablet, 100 (PI, CMI)
2 200 5 $587.54 $42.50 $42.50
Available brands
Rapamune
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SIROLIMUS

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
9748CMP SIROLIMUS
sirolimus 500 microgram tablet, 100 (PI, CMI)
2 200 5 $618.86 $42.50 $42.50
Available brands
Rapamune
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  • Legend
  • MPMedical Practitioner