Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
10536MMP	BRINZOLAMIDE + BRIMONIDINE brinzolamide 1% + brimonidine tartrate 0.2% eye drops, 5 mL (PI, CMI)	1	1	5	$24.80	$26.25	$29.70
	Available brands
	Simbrinza 1%/0.2%

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

Note

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
10547DOP	BRINZOLAMIDE + BRIMONIDINE brinzolamide 1% + brimonidine tartrate 0.2% eye drops, 5 mL (PI, CMI)	1	1	5	$24.80	$26.25	$29.70
	Available brands
	Simbrinza 1%/0.2%

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

Note

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
14423DMPOP	BRINZOLAMIDE + BRIMONIDINE brinzolamide 1% + brimonidine tartrate 0.2% eye drops, 5 mL (PI, CMI)	2	2	5	$36.15	$31.60	$31.60
	Available brands
	Simbrinza 1%/0.2%