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

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
10018GMPNP	BUDESONIDE + FORMOTEROL budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	5	$60.91	$31.60	$31.60
	Available brands
	Rilast RAPIHALER 200/6a
	Symbicort Rapihaler 200/6a * Additional charge for this brand is $4.96B	2	2	5	$65.87	$31.60	$36.56

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
12082XMP	BUDESONIDE + FORMOTEROL budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	5	$60.91	$31.60	$31.60
	Available brands
	Rilast RAPIHALER 200/6a
	Symbicort Rapihaler 200/6a * Additional charge for this brand is $4.96B	2	2	5	$65.87	$31.60	$36.56

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
14436TMP	BUDESONIDE + FORMOTEROL budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations (PI, CMI)	4	4	5	$108.35	$31.60	$31.60
	Available brands
	Rilast RAPIHALER 200/6a
	Symbicort Rapihaler 200/6a * Additional charge for this brand is $10.16B	4	4	5	$118.51	$31.60	$41.76

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

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
14468LMPNP	BUDESONIDE + FORMOTEROL budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations (PI, CMI)	4	4	5	$108.35	$31.60	$31.60
	Available brands
	Rilast RAPIHALER 200/6a
	Symbicort Rapihaler 200/6a * Additional charge for this brand is $10.16B	4	4	5	$118.51	$31.60	$41.76