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

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
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