Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10746NMPNP	BUPRENORPHINE buprenorphine 40 microgram/hour patch, 2 (PI, CMI)	1	2	0	$53.72	$31.60	$31.60
	Available brands
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10755CMPNP	BUPRENORPHINE buprenorphine 30 microgram/hour patch, 2 (PI, CMI)	1	2	0	$46.73	$31.60	$31.60
	Available brands
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10756DMPNP	BUPRENORPHINE buprenorphine 25 microgram/hour patch, 2 (PI, CMI)	1	2	0	$43.25	$31.60	$31.60
	Available brands
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10770WMPNP	BUPRENORPHINE buprenorphine 15 microgram/hour patch, 2 (PI, CMI)	1	2	0	$36.08	$31.60	$31.60
	Available brands
	B-Patcha
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10948FMPNP	BUPRENORPHINEP buprenorphine 10 microgram/hour patch, 2 (PI, CMI)	2	4	0	$45.98	$31.60	$31.60
	Available brands
	B-Patcha
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10949GMPNP	BUPRENORPHINEP buprenorphine 30 microgram/hour patch, 2 (PI, CMI)	2	4	0	$74.64	$31.60	$31.60
	Available brands
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10953LMPNP	BUPRENORPHINEP buprenorphine 15 microgram/hour patch, 2 (PI, CMI)	2	4	0	$53.34	$31.60	$31.60
	Available brands
	B-Patcha
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10957QMPNP	BUPRENORPHINEP buprenorphine 5 microgram/hour patch, 2 (PI, CMI)	2	4	0	$33.92	$31.60	$31.60
	Available brands
	B-Patcha
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10959TMPNP	BUPRENORPHINEP buprenorphine 40 microgram/hour patch, 2 (PI, CMI)	2	4	0	$88.62	$31.60	$31.60
	Available brands
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10964CMPNP	BUPRENORPHINEP buprenorphine 25 microgram/hour patch, 2 (PI, CMI)	2	4	0	$67.68	$31.60	$31.60
	Available brands
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
10970JMPNP	BUPRENORPHINEP buprenorphine 20 microgram/hour patch, 2 (PI, CMI)	2	4	0	$60.70	$31.60	$31.60
	Available brands
	B-Patcha
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13296TMPNP	BUPRENORPHINE buprenorphine 24 mg/0.48 mL modified release injection, 0.48 mL syringe (PI, CMI)	4	4	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Weekly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13297WMPNP	BUPRENORPHINE buprenorphine 16 mg/0.32 mL modified release injection, 0.32 mL syringe (PI, CMI)	4	4	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Weekly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13298XMPNP	BUPRENORPHINE buprenorphine 64 mg/0.18 mL modified release injection, 0.18 mL syringe (PI, CMI)	1	1	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Monthly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13302DMPNP	BUPRENORPHINE buprenorphine 128 mg/0.36 mL modified release injection, 0.36 mL syringe (PI, CMI)	1	1	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Monthly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13303EMPNP	BUPRENORPHINE buprenorphine 160 mg/0.45 mL modified release injection, 0.45 mL syringe (PI, CMI)	1	1	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Monthly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13309LMPNP	BUPRENORPHINE buprenorphine 96 mg/0.27 mL modified release injection, 0.27 mL syringe (PI, CMI)	1	1	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Monthly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13310MMPNP	BUPRENORPHINE buprenorphine 400 microgram sublingual tablet, 7 (PI, CMI)	4	28	5	$35.96	$31.60	$31.60
	Available brands
	Subutex

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13314RMPNP	BUPRENORPHINE buprenorphine 32 mg/0.64 mL modified release injection, 0.64 mL syringe (PI, CMI)	4	4	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Weekly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13320CMPNP	BUPRENORPHINE buprenorphine 100 mg/0.5 mL modified release injection, 0.5 mL syringe (PI, CMI)	1	1	5	$379.20	$31.60	$31.60
	Available brands
	Sublocade

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13327KMPNP	BUPRENORPHINE buprenorphine 300 mg/1.5 mL modified release injection, 1.5 mL syringe (PI, CMI)	1	1	5	$379.20	$31.60	$31.60
	Available brands
	Sublocade

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13328LMPNP	BUPRENORPHINE buprenorphine 8 mg/0.16 mL modified release injection, 0.16 mL syringe (PI, CMI)	4	4	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Weekly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13336XMPNP	BUPRENORPHINE buprenorphine 2 mg sublingual tablet, 7 (PI, CMI)	12	84	5	$119.88	$31.60	$31.60
	Available brands
	Subutex

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13337YMPNP	BUPRENORPHINE buprenorphine 8 mg sublingual tablet, 7 (PI, CMI)	16	112	5	$413.24	$31.60	$31.60
	Available brands
	Subutex

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8865NMPNP	BUPRENORPHINE buprenorphine 5 microgram/hour patch, 2 (PI, CMI)	1	2	0	$26.37	$27.82	$31.27
	Available brands
	B-Patcha
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8866PMPNP	BUPRENORPHINE buprenorphine 10 microgram/hour patch, 2 (PI, CMI)	1	2	0	$32.40	$31.60	$31.60
	Available brands
	B-Patcha
	Bupredermala
	Buprenorphine Sandoza
	Norspana

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8867QMPNP	BUPRENORPHINE buprenorphine 20 microgram/hour patch, 2 (PI, CMI)	1	2	0	$39.76	$31.60	$31.60
	Available brands
	B-Patcha
	Bupredermala
	Buprenorphine Sandoza
	Norspana