Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
10295WMPNP	ESOMEPRAZOLE esomeprazole 20 mg enteric capsule, 30 (PI, CMI)	1	30	1	$17.76	$19.21	$22.66
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
10330QMPNP	ESOMEPRAZOLE esomeprazole 40 mg enteric capsule, 30 (PI, CMI)	1	30	1	$20.76	$22.21	$25.66
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
10331RMPNP	ESOMEPRAZOLE esomeprazole 40 mg enteric capsule, 30 (PI, CMI)	1	30	5	$20.76	$22.21	$25.66
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
10343JMPNP	ESOMEPRAZOLE esomeprazole 20 mg enteric capsule, 30 (PI, CMI)	1	30	5	$17.76	$19.21	$22.66
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
11687DMPNP	ESOMEPRAZOLE esomeprazole 20 mg enteric capsule, 30 (PI, CMI)	1	30	5	$17.76	$19.21	$22.66
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
11692JMPNP	ESOMEPRAZOLE esomeprazole 20 mg enteric tablet, 30 (PI, CMI)	1	30	5	$17.76	$19.21	$22.66
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $7.00B	1	30	5	$24.76	$19.21	$29.66

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
12275CMP	ESOMEPRAZOLE esomeprazole 20 mg enteric capsule, 30 (PI, CMI)	2	60	5	$22.07	$23.52	$26.97
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
12283LMP	ESOMEPRAZOLE esomeprazole 40 mg enteric tablet, 30 (PI, CMI)	2	60	5	$28.07	$29.52	$31.60
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $14.00B	2	60	5	$42.07	$29.52	$45.60

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
12287QMP	ESOMEPRAZOLE esomeprazole 20 mg enteric tablet, 30 (PI, CMI)	2	60	5	$22.07	$23.52	$26.97
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $14.00B	2	60	5	$36.07	$23.52	$40.97

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
12290WMP	ESOMEPRAZOLE esomeprazole 40 mg enteric capsule, 30 (PI, CMI)	2	60	5	$28.07	$29.52	$31.60
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
14303TMPNP	ESOMEPRAZOLE esomeprazole 20 mg enteric capsule, 30 (PI, CMI)	2	60	5	$22.07	$23.52	$26.97
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
14308CMPNP	ESOMEPRAZOLE esomeprazole 20 mg enteric tablet, 30 (PI, CMI)	2	60	5	$22.07	$23.52	$26.97
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $14.00B	2	60	5	$36.07	$23.52	$40.97

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
14373LMPNP	ESOMEPRAZOLE esomeprazole 40 mg enteric tablet, 30 (PI, CMI)	2	60	5	$28.07	$29.52	$31.60
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $14.00B	2	60	5	$42.07	$29.52	$45.60

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
14405EMPNP	ESOMEPRAZOLE esomeprazole 40 mg enteric capsule, 30 (PI, CMI)	2	60	5	$28.07	$29.52	$31.60
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
14444FMPNP	ESOMEPRAZOLE esomeprazole 20 mg enteric tablet, 30 (PI, CMI)	2	60	5	$22.07	$23.52	$26.97
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $14.00B	2	60	5	$36.07	$23.52	$40.97

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
14445GMP	ESOMEPRAZOLE esomeprazole 40 mg enteric capsule, 30 (PI, CMI)	4	120	5	$42.67	$31.60	$31.60
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
14481EMP	ESOMEPRAZOLE esomeprazole 20 mg enteric tablet, 30 (PI, CMI)	4	120	5	$30.67	$31.60	$31.60
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $28.00B	4	120	5	$58.67	$31.60	$59.60

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
14510QMPNP	ESOMEPRAZOLE esomeprazole 20 mg enteric capsule, 30 (PI, CMI)	2	60	5	$22.07	$23.52	$26.97
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
14512TMP	ESOMEPRAZOLE esomeprazole 40 mg enteric tablet, 30 (PI, CMI)	4	120	5	$42.67	$31.60	$31.60
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $28.00B	4	120	5	$70.67	$31.60	$59.60

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
14537DMP	ESOMEPRAZOLE esomeprazole 20 mg enteric capsule, 30 (PI, CMI)	4	120	5	$30.67	$31.60	$31.60
	Available brands
	Noxicid Capsa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
3401BMPNP	ESOMEPRAZOLE esomeprazole 40 mg enteric tablet, 30 (PI, CMI)	1	30	5	$20.76	$22.21	$25.66
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $7.00B	1	30	5	$27.76	$22.21	$32.66

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
8600PMPNP	ESOMEPRAZOLE esomeprazole 20 mg enteric tablet, 30 (PI, CMI)	1	30	5	$17.76	$19.21	$22.66
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $7.00B	1	30	5	$24.76	$19.21	$29.66

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
8601QMPNP	ESOMEPRAZOLE esomeprazole 40 mg enteric tablet, 30 (PI, CMI)	1	30	1	$20.76	$22.21	$25.66
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $7.00B	1	30	1	$27.76	$22.21	$32.66

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
8886QMPNP	ESOMEPRAZOLE esomeprazole 20 mg enteric tablet, 30 (PI, CMI)	1	30	1	$17.76	$19.21	$22.66
	Available brands
	APO-Esomeprazolea
	ESOMEPRAZOLE-WGRa
	Esomeprazole GHa
	Esomeprazole GxPa
	Esomeprazole Mylana
	Esomeprazole RBXa
	Esomeprazole Viatrisa
	Esoprezea
	Nexazolea
	Nexolea
	Nexiuma * Additional charge for this brand is $7.00B	1	30	1	$24.76	$19.21	$29.66