Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10007QMPNP	FLUTICASONE PROPIONATE + FORMOTEROL fluticasone propionate 125 microgram/actuation + formoterol fumarate dihydrate 5 microgram/actuation inhalation, 120 actuations (PI, CMI)	1	1	5	$39.85	$31.60	$31.60
	Available brands
	flutiform 125/5

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10008RMPNP	FLUTICASONE PROPIONATE + FORMOTEROL fluticasone propionate 250 microgram/actuation + formoterol fumarate dihydrate 10 microgram/actuation inhalation, 120 actuations (PI, CMI)	1	1	5	$51.57	$31.60	$31.60
	Available brands
	flutiform 250/10

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
14343XMPNP	FLUTICASONE PROPIONATE + FORMOTEROL fluticasone propionate 125 microgram/actuation + formoterol fumarate dihydrate 5 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	5	$66.25	$31.60	$31.60
	Available brands
	flutiform 125/5

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
14344YMPNP	FLUTICASONE PROPIONATE + FORMOTEROL fluticasone propionate 250 microgram/actuation + formoterol fumarate dihydrate 10 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	5	$89.69	$31.60	$31.60
	Available brands
	flutiform 250/10

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
14411LMPNP	FLUTICASONE PROPIONATE + FORMOTEROL fluticasone propionate 50 microgram/actuation + formoterol fumarate dihydrate 5 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	5	$65.11	$31.60	$31.60
	Available brands
	flutiform 50/5

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
2827TMPNP	FLUTICASONE PROPIONATE + FORMOTEROL fluticasone propionate 50 microgram/actuation + formoterol fumarate dihydrate 5 microgram/actuation inhalation, 120 actuations (PI, CMI)	1	1	5	$39.28	$31.60	$31.60
	Available brands
	flutiform 50/5