Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
14357PMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 150 mg + carbidopa 37.5 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$341.83	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 150/37.5/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
14456WMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 50 mg + carbidopa 12.5 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$284.19	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 50/12.5/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
14457XMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 200 mg + carbidopa 50 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$368.31	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 200/50/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
14498CMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 75 mg + carbidopa 18.75 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$296.83	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 75/18.75/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
14527NMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 125 mg + carbidopa 31.25 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$324.55	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 125/31.25/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
14554BMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 100 mg + carbidopa 25 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$312.99	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 100/25/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
8797BMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 50 mg + carbidopa 12.5 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$146.33	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 50/12.5/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
8798CMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 100 mg + carbidopa 25 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$160.73	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 100/25/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
8799DMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 150 mg + carbidopa 37.5 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$175.13	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 150/37.5/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
9292CMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 200 mg + carbidopa 50 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$188.39	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 200/50/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
9344TMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 75 mg + carbidopa 18.75 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$152.65	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 75/18.75/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
9345WMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 125 mg + carbidopa 31.25 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$166.51	$31.60	$31.60
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 125/31.25/200mga