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
11634HOP	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

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
11643TMP	HYPROMELLOSE hypromellose 0.3% w/w eye drops, 10 mL (PI, CMI)	1	1	11	$16.17	$17.62	$24.68
	Available brands
	In a Wink Moisturising SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply onlya
	Revive Tears SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply onlya
	Genteal SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply onlya * Additional charge for this brand is $3.61B	1	1	11	$19.78	$17.62	$24.68

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

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

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

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
9214YMP	HYPROMELLOSE hypromellose 0.5% eye drops, 15 mL (PI, CMI)	1	1	11	$17.22	$18.67	$22.12
	Available brands
	Methopt SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply only