Source General Schedule
Body System VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS
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
2676WMPNP PROTEIN HYDROLYSATE FORMULA WITH MEDIUM CHAIN TRIGLYCERIDES
protein hydrolysate formula with medium chain triglycerides powder for oral liquid, 400 g (PI, CMI)
8 8 5 $136.83 $31.60 $31.60
Available brands
Alfaré SO
Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.
Supply only
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PROTEIN HYDROLYSATE FORMULA WITH MEDIUM CHAIN TRIGLYCERIDES

Source General Schedule
Body System VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS
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
8259QMPNP PROTEIN HYDROLYSATE FORMULA WITH MEDIUM CHAIN TRIGLYCERIDES
protein hydrolysate formula with medium chain triglycerides powder for oral liquid, 450 g (PI, CMI)
8 8 5 $202.67 $31.60 $31.60
Available brands
Aptamil Gold+ Pepti-Junior
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  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner
  • SO
    Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.
    Supply Only