Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
13916KMPNP	SULTHIAME sulthiame 50 mg tablet, 200 (PI, CMI)	2	400	2	$126.39	$31.60	$31.60
	Available brands
	Ospolot

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
14016QMPNP	SULTHIAME sulthiame 200 mg tablet, 200 (PI, CMI)	2	400	2	$318.19	$31.60	$31.60
	Available brands
	Ospolot

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

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
2099LMPNP	SULTHIAME sulthiame 50 mg tablet, 200 (PI, CMI)	1	200	2	$69.62	$31.60	$31.60
	Available brands
	Ospolot

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

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
2100MMPNP	SULTHIAME sulthiame 200 mg tablet, 200 (PI, CMI)	1	200	2	$163.32	$31.60	$31.60
	Available brands
	Ospolot