NILOTINIB

nilotinib 200 mg capsule, 120
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17895)

Indication: Chronic Myeloid Leukaemia (CML)
Treatment phase: Continuing treatment - second-line therapy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 120 # of repeats: 5 DPMQ: $3,780.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tasigna
nilotinib 200 mg capsule, 120
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17833)

Indication: Chronic Myeloid Leukaemia (CML)
Treatment phase: Continuing treatment - third-line therapy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 120 # of repeats: 5 DPMQ: $3,780.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tasigna
nilotinib 200 mg capsule, 120
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 12549)

Indication: Chronic Myeloid Leukaemia (CML)
Treatment phase: Grandfather treatment for patients initiated with nilotinib 200 mg prior to 1 April 2012 as first-line therapy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 120 # of repeats: 5 DPMQ: $3,780.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tasigna
nilotinib 200 mg capsule, 120
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic Myeloid Leukaemia (CML)
Treatment phase: Initial treatment - third-line therapy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 120 # of repeats: 5 DPMQ: $3,780.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tasigna
nilotinib 200 mg capsule, 120
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic Myeloid Leukaemia (CML)
Treatment phase: Initial treatment - second-line therapy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 120 # of repeats: 5 DPMQ: $3,780.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tasigna