Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
2481NMPNP	OXYCODONE oxycodone 30 mg suppository, 12 (PI, CMI)	1	12	0	$51.18	$31.60	$31.60
	Available brands
	Proladone

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
5194JDP	OXYCODONE oxycodone 30 mg suppository, 12 (PI, CMI)	1	12	0	$51.18	$31.60	$31.60
	Available brands
	Proladone