Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
14419XMPNP	FORMOTEROL formoterol fumarate dihydrate 12 microgram powder for inhalation, 60 capsules (PI, CMI)	2	120	5	$47.45	$31.60	$31.60
	Available brands
	Foradile

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
14517CMPNP	FORMOTEROL formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 60 actuations (PI, CMI)	2	2	5	$46.45	$31.60	$31.60
	Available brands
	Oxis Turbuhaler

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
14547PMPNP	FORMOTEROL formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations (PI, CMI)	2	2	5	$35.41	$31.60	$31.60
	Available brands
	Oxis Turbuhaler

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
8136FMPNP	FORMOTEROL formoterol fumarate dihydrate 12 microgram powder for inhalation, 60 capsules (PI, CMI)	1	60	5	$30.45	$31.60	$31.60
	Available brands
	Foradile

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
8239PMPNP	FORMOTEROL formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations (PI, CMI)	1	1	5	$24.43	$25.88	$29.33
	Available brands
	Oxis Turbuhaler

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
8240QMPNP	FORMOTEROL formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 60 actuations (PI, CMI)	1	1	5	$29.95	$31.40	$31.60
	Available brands
	Oxis Turbuhaler