Source	General Schedule
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

Note

Authority Required

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
9475QMP	POLYLACTIC ACID polylactic acid 150 mg injection, 1 vial (PI, CMI)	2	2	4	$288.80	$31.60	$31.60
	Available brands
	Sculptra

Source	General Schedule
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

Note

Authority Required

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
9476RMP	POLYLACTIC ACID polylactic acid 150 mg injection, 1 vial (PI, CMI)	2	2	0	$288.80	$31.60	$31.60
	Available brands
	Sculptra