Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
11625WMPNP	HYPROMELLOSE hypromellose 0.3% w/w eye drops, 10 mL (PI, CMI)	1	1	5	$16.17	$17.62	$21.07
	Available brands
	Revive Tears

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
11634HOP	HYPROMELLOSE hypromellose 0.3% w/w eye drops, 10 mL (PI, CMI)	1	1	5	$16.17	$17.62	$21.07
	Available brands
	Revive Tears

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
11842GMPNP	HYPROMELLOSE hypromellose 0.3% w/v eye drops, 10 mL (PI, CMI)	1	1	5	$25.01	$26.46	$29.91
	Available brands
	Evolve Hypromellose

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
11849POP	HYPROMELLOSE hypromellose 0.3% w/v eye drops, 10 mL (PI, CMI)	1	1	5	$25.01	$26.46	$29.91
	Available brands
	Evolve Hypromellose

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
14318NMPNPOP	HYPROMELLOSE hypromellose 0.3% w/w eye drops, 10 mL (PI, CMI)	2	2	5	$18.89	$20.34	$23.79
	Available brands
	Revive Tears

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
14320QMPNPOP	HYPROMELLOSE hypromellose 0.5% eye drops, 15 mL (PI, CMI)	2	2	5	$20.99	$22.44	$25.89
	Available brands
	Methopt

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
14492RMPNPOP	HYPROMELLOSE hypromellose 0.3% w/v eye drops, 10 mL (PI, CMI)	2	2	5	$36.57	$31.60	$31.60
	Available brands
	Evolve Hypromellose

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
2956NMPNP	HYPROMELLOSE hypromellose 0.5% eye drops, 15 mL (PI, CMI)	1	1	5	$17.22	$18.67	$22.12
	Available brands
	Methopt

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
5517JOP	HYPROMELLOSE hypromellose 0.5% eye drops, 15 mL (PI, CMI)	1	1	5	$17.22	$18.67	$22.12
	Available brands
	Methopt