Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > DIURETICS > HIGH-CEILING DIURETICS

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
13474EMPNP	FUROSEMIDE furosemide 500 mg tablet, 50 (PI, CMI)	2	100	3	$33.09	$31.60	$31.60
	Available brands
	Urex-Forte

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > DIURETICS > HIGH-CEILING DIURETICS

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
2415DMPNP	FUROSEMIDE furosemide 500 mg tablet, 50 (PI, CMI)	1	50	3	$23.27	$24.72	$28.17
	Available brands
	Urex-Forte