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
13504RMPNP	FUROSEMIDE furosemide 10 mg/mL oral liquid, 30 mL (PI, CMI)	2	2	3	$68.95	$31.60	$31.60
	Available brands
	Lasix