Source	S100 HSD Public
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
5647FMP	DARBEPOETIN ALFA darbepoetin alfa 60 microgram/0.3 mL injection, 0.3 mL pen device (PI, CMI)	8	8	5	$1018.64	$31.60	$31.60
	Available brands
	Aranesp SureClick

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6490NMP	DARBEPOETIN ALFA darbepoetin alfa 60 microgram/0.3 mL injection, 0.3 mL pen device (PI, CMI)	8	8	5	$1067.52	$31.60	$31.60
	Available brands
	Aranesp SureClick