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
5737YMP	EVEROLIMUS everolimus 1 mg tablet, 60 (PI, CMI)	4	240	5	$2121.68	$31.60	$31.60
	Available brands
	Certicana
	Everocana

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
9352FMP	EVEROLIMUS everolimus 1 mg tablet, 60 (PI, CMI)	2	120	3	$1151.10	$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	$2170.56	$31.60	$31.60
	Available brands
	Certicana
	Everocana