Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
12088FMP	STIRIPENTOL stiripentol 500 mg powder for oral liquid, 60 sachets (PI, CMI)	2	120	3	$1295.91	$31.60	$31.60
	Available brands
	Diacomit

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
12103BMP	STIRIPENTOL stiripentol 250 mg capsule, 60 (PI, CMI)	2	120	3	$670.03	$31.60	$31.60
	Available brands
	Diacomit

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
12106EMP	STIRIPENTOL stiripentol 250 mg powder for oral liquid, 60 sachets (PI, CMI)	2	120	3	$670.03	$31.60	$31.60
	Available brands
	Diacomit

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
12107FMP	STIRIPENTOL stiripentol 500 mg capsule, 60 (PI, CMI)	2	120	3	$1295.91	$31.60	$31.60
	Available brands
	Diacomit