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
14496YMPOP	BRIMONIDINE brimonidine tartrate 0.15% eye drops, 5 mL (PI, CMI)	2	2	5	$28.87	$30.32	$31.60
	Available brands
	Alphagan P 1.5

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
14497BMPOP	BRIMONIDINE brimonidine tartrate 0.2% eye drops, 5 mL (PI, CMI)	2	2	5	$29.81	$31.26	$31.60
	Available brands
	Enidina
	Alphagana * Additional charge for this brand is $1.96B	2	2	5	$31.77	$31.26	$33.56

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

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
5298WMP	BRIMONIDINE brimonidine tartrate 0.15% eye drops, 5 mL (PI, CMI)	1	1	5	$21.16	$22.61	$26.06
	Available brands
	Alphagan P 1.5

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

Note

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
5534GOP	BRIMONIDINE brimonidine tartrate 0.2% eye drops, 5 mL (PI, CMI)	1	1	5	$21.63	$23.08	$26.53
	Available brands
	Enidina
	Alphagana * Additional charge for this brand is $0.98B	1	1	5	$22.61	$23.08	$27.51

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

Note

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
5563TOP	BRIMONIDINE brimonidine tartrate 0.15% eye drops, 5 mL (PI, CMI)	1	1	5	$21.16	$22.61	$26.06
	Available brands
	Alphagan P 1.5

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

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
8351MMP	BRIMONIDINE brimonidine tartrate 0.2% eye drops, 5 mL (PI, CMI)	1	1	5	$21.63	$23.08	$26.53
	Available brands
	Enidina
	Alphagana * Additional charge for this brand is $0.98B	1	1	5	$22.61	$23.08	$27.51