Source	General Schedule
Body System	VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS

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
10189GMPNP	TRIGLYCERIDES LONG CHAIN WITH GLUCOSE POLYMER triglycerides long chain with glucose polymer oral liquid, 27 x 200 mL cartons (PI, CMI)	2	2	5	$159.79	$31.60	$31.60
	Available brands
	Sno-Pro