Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
10181WMPNP	ESCITALOPRAM escitalopram 20 mg/mL oral liquid, 15 mL (PI, CMI)	1	1	5	$39.43	$31.60	$31.60
	Available brands
	Lexapro

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14546NMPNP	ESCITALOPRAM escitalopram 20 mg/mL oral liquid, 15 mL (PI, CMI)	2	2	2	$65.41	$31.60	$31.60
	Available brands
	Lexapro