Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13296TMPNP	BUPRENORPHINE buprenorphine 24 mg/0.48 mL modified release injection, 0.48 mL syringe (PI, CMI)	4	4	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Weekly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13297WMPNP	BUPRENORPHINE buprenorphine 16 mg/0.32 mL modified release injection, 0.32 mL syringe (PI, CMI)	4	4	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Weekly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13298XMPNP	BUPRENORPHINE buprenorphine 64 mg/0.18 mL modified release injection, 0.18 mL syringe (PI, CMI)	1	1	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Monthly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13302DMPNP	BUPRENORPHINE buprenorphine 128 mg/0.36 mL modified release injection, 0.36 mL syringe (PI, CMI)	1	1	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Monthly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13303EMPNP	BUPRENORPHINE buprenorphine 160 mg/0.45 mL modified release injection, 0.45 mL syringe (PI, CMI)	1	1	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Monthly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13309LMPNP	BUPRENORPHINE buprenorphine 96 mg/0.27 mL modified release injection, 0.27 mL syringe (PI, CMI)	1	1	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Monthly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13314RMPNP	BUPRENORPHINE buprenorphine 32 mg/0.64 mL modified release injection, 0.64 mL syringe (PI, CMI)	4	4	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Weekly

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13328LMPNP	BUPRENORPHINE buprenorphine 8 mg/0.16 mL modified release injection, 0.16 mL syringe (PI, CMI)	4	4	5	$379.20	$31.60	$31.60
	Available brands
	Buvidal Weekly