Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONES AND RELATED AGENTS

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
8093YMP	GOSERELIN goserelin 10.8 mg implant, 1 (PI, CMI)	1	1	1	$714.89	$31.60	$31.60
	Available brands
	Zoladex 10.8 Implant

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

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
8094BMPNP	BICALUTAMIDE bicalutamide 50 mg tablet, 28 (PI, CMI)	1	28	5	$52.87	$31.60	$31.60
	Available brands
	APO-Bicalutamidea
	Bicaloxa
	Calutexa
	Cosamide 50a
	Cosudexa

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONES AND RELATED AGENTS

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
9065DMP	GOSERELIN (&) BICALUTAMIDE goserelin 10.8 mg implant [1 implant] (&) bicalutamide 50 mg tablet [28], 1 pack (PI, CMI)	1	1	0	$1043.58	$31.60	$31.60
	Available brands
	ZolaCos CP 10.8/50(28)