Medcallz e-Prescribe - New Prescription

MIMS End User License Agreement MIMS Terms and Conditions

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No doctor selected

No patient selected

Step 3: Search for Medicine

Search by Product Name:

Search by Indication:

Step 4: Select Medicine

Total Results: 0

Selected Product Name:

Molecules:

Route of Administration (ROA):

Poison Schedule:

Virtual Item:

Step 5: Select Medicine Variant

Selected Variant

Step 6: Medication Details

The * asterisk indicates mandatory fields

Quantity

Repeats

Repeat Interval

PBS

RPBS

Private

Section 100

Unlisted Repat / DVA Authority

Prescriber Script Number

Patient Medicare Number

PBS Authority Hotline: 1800 888 333

RPBS Authority Hotline: 1800 552 580

PBS / RPBS Authority Code

PBS-RPBS DVA Authority Script Number

Step 7: Additional Information

Directions / Patient Instructions

Notes

Reason for Prescribing

Closing the Gap (CTG)

Unusual Dose

Regulation 49

Don't send to Active Scripts List (ASL)

Emergency Supply

Brand is required

Brand substitution not permitted

Treatment Use

Step 8: Submit and Print Script

Date

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