Source	S100 HSD Public
Body System	MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS

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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
11126NMP	BACLOFEN baclofen 10 mg/5 mL intrathecal injection, 10 x 5 mL ampoules (PI, CMI)	1	10	0	$762.70	$31.60	$31.60
	Available brands
	Sintetica Baclofen Intrathecala