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
14549RMPOP	TRAVOPROST travoprost 0.004% eye drops, 2.5 mL (PI, CMI)	2	2	5	$52.93	$31.60	$31.60
	Available brands
	Travatan

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
5554HOP	TRAVOPROST travoprost 0.004% eye drops, 2.5 mL (PI, CMI)	1	1	5	$33.19	$31.60	$31.60
	Available brands
	Travatan

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
8597LMP	TRAVOPROST travoprost 0.004% eye drops, 2.5 mL (PI, CMI)	1	1	5	$33.19	$31.60	$31.60
	Available brands
	Travatan