ACALABRUTINIB

acalabrutinib 100 mg tablet, 56
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic lymphocytic leukaemia (CLL) or small lymphocytic lymphoma (SLL)
Treatment phase: Treatment of relapsed/refractory disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 56 # of repeats: 5 DPMQ: $7,052.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CALQUENCE
acalabrutinib 100 mg tablet, 56
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Mantle cell lymphoma
Treatment phase: Initial treatment

Restriction

Indication: Mantle cell lymphoma
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 56 # of repeats: 5 DPMQ: $7,052.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CALQUENCE
acalabrutinib 100 mg tablet, 56
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic lymphocytic leukaemia (CLL) or small lymphocytic lymphoma (SLL)
Treatment phase: First line drug treatment of this indication - as monotherapy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 56 # of repeats: 5 DPMQ: $7,052.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CALQUENCE
acalabrutinib 100 mg tablet, 56
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic lymphocytic leukaemia (CLL) or small lymphocytic lymphoma (SLL)
Treatment phase: First line drug treatment of this indication - in combination with obinutuzumab
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 56 # of repeats: 6 DPMQ: $7,052.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CALQUENCE
acalabrutinib 100 mg tablet, 56
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic lymphocytic leukaemia (CLL) or small lymphocytic lymphoma (SLL)
Treatment phase: Continuing treatment (treatment cycles 3 to 14 inclusive) of first-line therapy - in combination with venetoclax
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 56 # of repeats: 5 DPMQ: $7,052.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CALQUENCE
acalabrutinib 100 mg tablet, 56
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic lymphocytic leukaemia (CLL) or small lymphocytic lymphoma (SLL)
Treatment phase: Grandfather arrangements - Transitioning from non-PBS to PBS-subsidised supply in 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: 56 # of repeats: 5 DPMQ: $7,052.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CALQUENCE
acalabrutinib 100 mg tablet, 56
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic lymphocytic leukaemia (CLL) or small lymphocytic lymphoma (SLL)
Treatment phase: Initial treatment (treatment cycles 1 to 2 inclusive) in 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: 56 # of repeats: 1 DPMQ: $7,052.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CALQUENCE