Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > ANTIMIGRAINE PREPARATIONS

Caution

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
10551HMPNP	RIZATRIPTAN rizatriptan 10 mg orally disintegrating tablet, 2 (PI, CMI)	2	4	5	$22.07	$23.52	$26.97
	Available brands
	RIXALTa
	RIZATRIPTAN ODT-WGRa
	Rizatriptan ODT APOTEXa

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > ANTIMIGRAINE PREPARATIONS

Caution

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
9313EMPNP	RIZATRIPTAN rizatriptan 10 mg wafer, 2 (PI, CMI)
	Available brands
	Maxalta * Additional charge for this brand is $3.92B	2	4	5	$25.99	$23.52	$30.89
	Rizatriptan Wafers-10mga * Additional charge for this brand is $2.74B	2	4	5	$24.81	$23.52	$29.71