Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
14321RMPOP	BRINZOLAMIDE brinzolamide 1% eye drops, 5 mL (PI, CMI)	2	2	5	$32.95	$31.60	$31.60
	Available brands
	BrinzoQuina
	Azopta * Additional charge for this brand is $6.54B	2	2	5	$39.49	$31.60	$38.14

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
5540NOP	BRINZOLAMIDE brinzolamide 1% eye drops, 5 mL (PI, CMI)	1	1	5	$23.20	$24.65	$28.10
	Available brands
	BrinzoQuina
	Azopta * Additional charge for this brand is $3.27B	1	1	5	$26.47	$24.65	$31.37

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
8483LMP	BRINZOLAMIDE brinzolamide 1% eye drops, 5 mL (PI, CMI)	1	1	5	$23.20	$24.65	$28.10
	Available brands
	BrinzoQuina
	Azopta * Additional charge for this brand is $3.27B	1	1	5	$26.47	$24.65	$31.37