POLYLACTIC ACID

POLYLACTIC ACID (9475Q)

polylactic acid 150 mg injection, 1 vial
9475Q
Body System:
Manner of administration:Injection
General Schedule
Authority Required

Restriction

Indication: Severe facial lipoatrophy
Treatment phase: Initial PBS-subsidised treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 4 DPMQ: $288.80 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Sculptra

POLYLACTIC ACID (9476R)

polylactic acid 150 mg injection, 1 vial
9476R
Body System:
Manner of administration:Injection
General Schedule
Authority Required

Restriction

Indication: Severe facial lipoatrophy
Treatment phase: Maintenance PBS-subsidised treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 0 DPMQ: $288.80 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Sculptra