Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIINFECTIVES

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
11112WMPMWNPOP	CHLORAMPHENICOL chloramphenicol 0.5% eye drops, 10 mL (PI, CMI)	1	1	2	$17.57	$19.02	$22.47
	Available brands
	Chlorsig

Source	Repatriation Pharmaceutical Benefits
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIINFECTIVES

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
14180HMP	CHLORAMPHENICOLR chloramphenicol 0.5% eye drops, 10 mL (PI, CMI)
	Available brands
	Chlorsig	1	1	2	$17.57	$7.70	$7.70