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
6459YMP	EVEROLIMUS everolimus 250 microgram tablet, 60 (PI, CMI)	2	120	5	$324.39	$31.60	$31.60
	Available brands
	Certicana
	Everocana

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
6460BMP	EVEROLIMUS everolimus 500 microgram tablet, 60 (PI, CMI)	2	120	5	$560.01	$31.60	$31.60
	Available brands
	Certicana
	Everocana

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
6461CMP	EVEROLIMUS everolimus 750 microgram tablet, 60 (PI, CMI)	4	240	5	$1639.61	$31.60	$31.60
	Available brands
	Certicana
	Everocana

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
9582HMP	EVEROLIMUS everolimus 1 mg tablet, 60 (PI, CMI)	4	240	5	$2170.05	$31.60	$31.60
	Available brands
	Certicana
	Everocana