Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
14374MMPNP	LANSOPRAZOLE lansoprazole 15 mg orally disintegrating tablet, 28 (PI, CMI)	2	56	5	$20.83	$22.28	$25.73
	Available brands
	APO-Lansoprazole ODTa
	Lansoprazole ODT GHa
	Zopral ODTa
	Zoton FasTabsa * Additional charge for this brand is $9.60B	2	56	5	$30.43	$22.28	$35.33