CICLOSPORIN

CICLOSPORIN (5631J)

ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules
5631J
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6628)

Indication: Management of transplant rejection
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 10 # of repeats: 0 DPMQ: $54.10 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Sandimmun

CICLOSPORIN (6109M)

ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules
6109M
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 9831)

Indication: Management of transplant rejection
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 10 # of repeats: 0 DPMQ: $66.98 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Sandimmun