Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > CORTICOSTEROIDS FOR SYSTEMIC USE > CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

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
1501BMPNP	HYDROCORTISONE SODIUM SUCCINATE hydrocortisone (as sodium succinate) 100 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial (PI, CMI)	2	2	0	$23.27	$24.72	$28.17
	Available brands
	Solu-Cortef

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > CORTICOSTEROIDS FOR SYSTEMIC USE > CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

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
1510LMPNP	HYDROCORTISONE SODIUM SUCCINATE hydrocortisone (as sodium succinate) 100 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial (PI, CMI)	6	6	0	$42.87	$31.60	$31.60
	Available brands
	Solu-Cortef

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > CORTICOSTEROIDS FOR SYSTEMIC USE > CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

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
1511MMPNP	HYDROCORTISONE SODIUM SUCCINATE hydrocortisone (as sodium succinate) 250 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial (PI, CMI)	6	6	0	$66.03	$31.60	$31.60
	Available brands
	Solu-Cortef

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > CORTICOSTEROIDS FOR SYSTEMIC USE > CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

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
3096YMPNP	HYDROCORTISONE SODIUM SUCCINATE hydrocortisone (as sodium succinate) 250 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial (PI, CMI)	1	1	0	$22.22	$23.67	$27.12
	Available brands
	Solu-Cortef

Source	Prescriber Bag
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > CORTICOSTEROIDS FOR SYSTEMIC USE > CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

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
3470PMPNP	HYDROCORTISONE SODIUM SUCCINATE hydrocortisone (as sodium succinate) 100 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial (PI, CMI)	2	2	0	$23.27	$0.00	Nil
	Available brands
	Solu-Cortef

Source	Prescriber Bag
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > CORTICOSTEROIDS FOR SYSTEMIC USE > CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

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
3471QMPNP	HYDROCORTISONE SODIUM SUCCINATE hydrocortisone (as sodium succinate) 250 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial (PI, CMI)	1	1	0	$22.22	$0.00	Nil
	Available brands
	Solu-Cortef

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > CORTICOSTEROIDS FOR SYSTEMIC USE > CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

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
5118JDP	HYDROCORTISONE SODIUM SUCCINATE hydrocortisone (as sodium succinate) 100 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial (PI, CMI)	6	6	0	$42.87	$31.60	$31.60
	Available brands
	Solu-Cortef

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > CORTICOSTEROIDS FOR SYSTEMIC USE > CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

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
5119KDP	HYDROCORTISONE SODIUM SUCCINATE hydrocortisone (as sodium succinate) 250 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial (PI, CMI)	6	6	0	$66.03	$31.60	$31.60
	Available brands
	Solu-Cortef