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
6364YMP	MYCOPHENOLATE mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (PI, CMI)	2	2	5	$519.32	$30.00	$30.00
	Available brands
	CellCepta
	Pharmacor Mycophenolatea

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
8651HMP	MYCOPHENOLATE mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (PI, CMI)	1	1	5	$286.11	$30.00	$30.00
	Available brands
	CellCepta
	Pharmacor Mycophenolatea

Source	S100 HSD Public
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
9500BMP	MYCOPHENOLATE mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (PI, CMI)	2	2	5	$489.02	$30.00	$30.00
	Available brands
	CellCepta
	Pharmacor Mycophenolatea