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

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
10759GMPNP	ESOMEPRAZOLE (&) CLARITHROMYCIN (&) AMOXICILLIN esomeprazole 20 mg enteric tablet [14] (&) amoxicillin 500 mg capsule [28] (&) clarithromycin 500 mg tablet [14], 1 pack (PI, CMI)	1	1	0	$38.89	$31.60	$31.60
	Available brands
	ESOMEPRAZOLE SANDOZ Hp7a

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

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
8738XMPNP	ESOMEPRAZOLE (&) CLARITHROMYCIN (&) AMOXICILLIN esomeprazole 20 mg enteric tablet [14] (&) amoxicillin 500 mg capsule [28] (&) clarithromycin 500 mg tablet [14], 1 pack (PI, CMI)
	Available brands
	Nexium Hp7a * Additional charge for this brand is $4.96B	1	1	0	$43.85	$31.60	$36.56