Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
14385DMPNPOP	CARBOMER-980 carbomer-980 0.2% eye gel, 10 g (PI, CMI)	2	2	5	$20.17	$21.62	$25.07
	Available brands
	Optifresh eye gela
	PAAa
	Viscotearsa * Additional charge for this brand is $7.70B	2	2	5	$27.87	$21.62	$32.77

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Authority Required (STREAMLINED)

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
14420YMPNPOP	CARBOMER-980 carbomer-980 0.2% eye drops, 30 x 600 mg ampoules (PI, CMI)	6	6	5	$48.81	$31.60	$31.60
	Available brands
	Viscotears Gel PF

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
5503POP	CARBOMER-980 carbomer-980 0.2% eye gel, 10 g (PI, CMI)	1	1	5	$16.81	$18.26	$21.71
	Available brands
	Optifresh eye gela
	PAAa
	Viscotearsa * Additional charge for this brand is $3.85B	1	1	5	$20.66	$18.26	$25.56

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Authority Required (STREAMLINED)

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
5504QOP	CARBOMER-980 carbomer-980 0.2% eye drops, 30 x 600 mg ampoules (PI, CMI)	3	3	5	$31.14	$31.60	$31.60
	Available brands
	Viscotears Gel PF

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
8384GMPNP	CARBOMER-980 carbomer-980 0.2% eye gel, 10 g (PI, CMI)	1	1	5	$16.81	$18.26	$21.71
	Available brands
	Optifresh eye gela
	PAAa
	Viscotearsa * Additional charge for this brand is $3.85B	1	1	5	$20.66	$18.26	$25.56

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Authority Required (STREAMLINED)

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
8578LMPNP	CARBOMER-980 carbomer-980 0.2% eye drops, 30 x 600 mg ampoules (PI, CMI)	3	3	5	$31.14	$31.60	$31.60
	Available brands
	Viscotears Gel PF