Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14349FMPNP	ESCITALOPRAM escitalopram 10 mg tablet, 28 (PI, CMI)	2	56	2	$18.89	$20.34	$23.79
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Cilopam-Sa
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 10a
	LoxaLatea
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $28.36B	2	56	2	$47.25	$20.34	$52.15

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14415QMPNP	ESCITALOPRAM escitalopram 20 mg tablet, 28 (PI, CMI)	2	56	2	$18.89	$20.34	$23.79
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Cilopam-Sa
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 20a
	LoxaLatea
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $29.06B	2	56	2	$47.95	$20.34	$52.85

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14416RMPNP	ESCITALOPRAM escitalopram 20 mg tablet, 28 (PI, CMI)	2	56	2	$18.89	$20.34	$23.79
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 20a
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $29.06B	2	56	2	$47.95	$20.34	$52.85

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14519EMPNP	ESCITALOPRAM escitalopram 10 mg tablet, 28 (PI, CMI)	2	56	2	$18.89	$20.34	$23.79
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 10a
	LoxaLatea
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $28.36B	2	56	2	$47.25	$20.34	$52.15

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
8700XMPNP	ESCITALOPRAM escitalopram 10 mg tablet, 28 (PI, CMI)	1	28	5	$16.17	$17.62	$21.07
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Cilopam-Sa
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 10a
	LoxaLatea
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $14.18B	1	28	5	$30.35	$17.62	$35.25

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
8701YMPNP	ESCITALOPRAM escitalopram 20 mg tablet, 28 (PI, CMI)	1	28	5	$16.17	$17.62	$21.07
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Cilopam-Sa
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 20a
	LoxaLatea
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $14.53B	1	28	5	$30.70	$17.62	$35.60

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
9432KMPNP	ESCITALOPRAM escitalopram 10 mg tablet, 28 (PI, CMI)	1	28	5	$16.17	$17.62	$21.07
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 10a
	LoxaLatea
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $14.18B	1	28	5	$30.35	$17.62	$35.25

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
9433LMPNP	ESCITALOPRAM escitalopram 20 mg tablet, 28 (PI, CMI)	1	28	5	$16.17	$17.62	$21.07
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 20a
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $14.53B	1	28	5	$30.70	$17.62	$35.60