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
	In a Wink Moisturisinga
	Revive Tearsa
	Genteala * Additional charge for this brand is $3.61B	1	1	5	$19.78	$17.62	$24.68

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
	In a Wink Moisturisinga
	Revive Tearsa
	Genteala * Additional charge for this brand is $7.22B	2	2	5	$26.11	$20.34	$31.01