TACROLIMUS

TACROLIMUS (10860N)

tacrolimus 2 mg capsule, 100
10860N
Body System:
Manner of administration:Oral
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5569)

Indication: Management of rejection in patients following organ or tissue transplantation
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 5 DPMQ: $469.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tacrolimus Sandoz

TACROLIMUS (10871E)

tacrolimus 2 mg capsule, 100
10871E
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 3 DPMQ: $273.71 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tacrolimus Sandoz

TACROLIMUS (10879N)

tacrolimus 2 mg capsule, 100
10879N
Body System:
Manner of administration:Oral
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 9697)

Indication: Management of rejection in patients following organ or tissue transplantation
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 5 DPMQ: $496.96 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tacrolimus Sandoz

TACROLIMUS (13995N)

tacrolimus 2 mg capsule, 100
13995N
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 3 DPMQ: $538.62 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tacrolimus Sandoz