Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
14534YMPNP	CITRIC ACID + LAURYL SULFOACETATE SODIUM + SORBITOL sodium citrate dihydrate 450 mg/5 mL + lauryl sulfoacetate sodium 45 mg/5 mL + sorbitol 3.125 g/5 mL enema, 12 x 5 mL (PI, CMI)	4	4	2	$60.95	$31.60	$31.60
	Available brands
	Micolette

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
2091CMPNP	CITRIC ACID + LAURYL SULFOACETATE SODIUM + SORBITOL sodium citrate dihydrate 450 mg/5 mL + lauryl sulfoacetate sodium 45 mg/5 mL + sorbitol 3.125 g/5 mL enema, 12 x 5 mL (PI, CMI)	2	2	2	$37.21	$31.60	$31.60
	Available brands
	Micolette

Source	Palliative Care
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
5331NMPNP	CITRIC ACID + LAURYL SULFOACETATE SODIUM + SORBITOLP sodium citrate dihydrate 450 mg/5 mL + lauryl sulfoacetate sodium 45 mg/5 mL + sorbitol 3.125 g/5 mL enema, 12 x 5 mL (PI, CMI)	2	2	3	$37.21	$31.60	$31.60
	Available brands
	Micolette