Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
14491QMPOP	BRIMONIDINE + TIMOLOL brimonidine tartrate 0.2% + timolol 0.5% eye drops, 5 mL (PI, CMI)	2	2	5	$38.91	$31.60	$31.60
	Available brands
	Combigan

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
5535HOP	BRIMONIDINE + TIMOLOL brimonidine tartrate 0.2% + timolol 0.5% eye drops, 5 mL (PI, CMI)	1	1	5	$26.18	$27.63	$31.08
	Available brands
	Combigan

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
8826MMP	BRIMONIDINE + TIMOLOL brimonidine tartrate 0.2% + timolol 0.5% eye drops, 5 mL (PI, CMI)	1	1	5	$26.18	$27.63	$31.08
	Available brands
	Combigan