Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

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
11933CMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	2	20	0	$20.09	$21.54	$24.99
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 875/125a
	APO-AMOXY/CLAV 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	Alphaclav Duo Forte Viatrisa
	AmoxyClav generichealth 875/125a
	Blooms The Chemist Amoxicillin/Clavulanic Acid 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $13.56B	2	20	0	$33.65	$21.54	$38.55

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

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
11941LMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	2	20	0	$19.49	$20.94	$24.39
	Available brands
	AMCLAVOX DUO 500/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 500/125a
	APO-AMOXY/CLAV 500/125a
	APO-Amoxycillin/ Clavulanic Acid 500/125a
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duoa
	Alphaclav Duo Viatrisa
	Amoxycillin/Clavulanic Acid 500/125 APOTEXa
	Curam Duo 500/125a
	Augmentin Duoa * Additional charge for this brand is $10.82B	2	20	0	$30.31	$20.94	$35.21

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
14568RDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 125 mg/5 mL + clavulanic acid 31.25 mg/5 mL powder for oral liquid, 100 mL (PI, CMI)	1	1	0	$61.76	$31.60	$31.60
	Available brands
	CLAVULIN-125F (GlaxoSmithKline, Canada)a

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
14569TMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 125 mg/5 mL + clavulanic acid 31.25 mg/5 mL powder for oral liquid, 100 mL (PI, CMI)	1	1	1	$61.76	$31.60	$31.60
	Available brands
	CLAVULIN-125F (GlaxoSmithKline, Canada)a

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
1891MMPMWNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$16.47	$17.92	$21.37
	Available brands
	AMCLAVOX DUO 500/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 500/125a
	APO-AMOXY/CLAV 500/125a
	APO-Amoxycillin/ Clavulanic Acid 500/125a
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duoa
	Alphaclav Duo Viatrisa
	Amoxycillin/Clavulanic Acid 500/125 APOTEXa
	Curam Duo 500/125a
	Augmentin Duoa * Additional charge for this brand is $5.41B	1	10	0	$21.88	$17.92	$26.78

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
1892NMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 125 mg/5 mL + clavulanic acid 31.25 mg/5 mL powder for oral liquid, 75 mL (PI, CMI)	1	1	1	$19.53	$21.40	$24.85
	Available brands
	Curama

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
5006LDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$16.77	$18.22	$21.67
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 875/125a
	APO-AMOXY/CLAV 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	Alphaclav Duo Forte Viatrisa
	AmoxyClav generichealth 875/125a
	Blooms The Chemist Amoxicillin/Clavulanic Acid 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $6.78B	1	10	0	$23.55	$18.22	$28.45

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
5008NDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$16.47	$17.92	$21.37
	Available brands
	AMCLAVOX DUO 500/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 500/125a
	APO-AMOXY/CLAV 500/125a
	APO-Amoxycillin/ Clavulanic Acid 500/125a
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duoa
	Alphaclav Duo Viatrisa
	Amoxycillin/Clavulanic Acid 500/125 APOTEXa
	Curam Duo 500/125a
	Augmentin Duoa * Additional charge for this brand is $5.41B	1	10	0	$21.88	$17.92	$26.78

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
5009PDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 125 mg/5 mL + clavulanic acid 31.25 mg/5 mL powder for oral liquid, 75 mL (PI, CMI)	1	1	0	$19.53	$21.40	$24.85
	Available brands
	Curama

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
5011RDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 400 mg/5 mL + clavulanic acid 57 mg/5 mL powder for oral liquid, 60 mL (PI, CMI)	1	1	0	$19.53	$21.40	$24.85
	Available brands
	Curam Duoa
	Augmentin Duo 400a * Additional charge for this brand is $5.26B	1	1	0	$24.79	$21.40	$30.11

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
8254KMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$16.77	$18.22	$21.67
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 875/125a
	APO-AMOXY/CLAV 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	Alphaclav Duo Forte Viatrisa
	AmoxyClav generichealth 875/125a
	Blooms The Chemist Amoxicillin/Clavulanic Acid 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $6.78B	1	10	0	$23.55	$18.22	$28.45

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
8319WMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 400 mg/5 mL + clavulanic acid 57 mg/5 mL powder for oral liquid, 60 mL (PI, CMI)	1	1	1	$19.53	$21.40	$24.85
	Available brands
	Curam Duoa
	Augmentin Duo 400a * Additional charge for this brand is $5.26B	1	1	1	$24.79	$21.40	$30.11