Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIINFECTIVES

Restricted Benefit

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
1002RMPNP	ACICLOVIR aciclovir 3% eye ointment, 4.5 g (PI, CMI)	1	1	0	$28.60	$30.05	$31.60
	Available brands
	ViruPOSa
	XOROXa

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIINFECTIVES

Restricted Benefit

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
5501MOP	ACICLOVIR aciclovir 3% eye ointment, 4.5 g (PI, CMI)	1	1	0	$28.60	$30.05	$31.60
	Available brands
	ViruPOSa
	XOROXa