Product Order Form

Use this form to order Eloctate and/or Alprolix for your haemophilia treatment centre. For approved health providers only.

Similar Resources

On-demand treatment of Haemophilia A with Eloctate (efmoroctocog alfa)

A guide on switching an on-demand haemophilia A patient to Eloctate, including dosing information on treatment of bleeds and peri-operative use.

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Factor in the Future with Eloctate (efmoroctocog alfa)

A guide on treating haemophilia A patients with factor replacement therapy and Eloctate.

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Prophylaxis treatment of Haemophilia A with Eloctate (efmoroctocog alfa)

A guide on switching a Haemophilia A patient on SHL prophylaxis to Eloctate.

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PBS Information:

These products are not listed on the PBS. Please refer to the National Blood Authority for details.

Please review the full Product Information for Alprolix and Eloctate before prescribing.

Full Product Information for Alprolix can be accessed here

Full Product Information for Eloctate can be accessed here

MAT-AU-2102891-2.0. Date of preparation March 2024

Product Order Form

On-demand treatment of Haemophilia A with Eloctate (efmoroctocog alfa)

Factor in the Future with Eloctate (efmoroctocog alfa)

Prophylaxis treatment of Haemophilia A with Eloctate (efmoroctocog alfa)

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