Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
3130RMP	VANCOMYCIN vancomycin 500 mg injection, 1 vial (PI, CMI)	2	2	0	$22.09	$23.54	$26.99
	Available brands
	Vancomycin Viatris

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
3131TMP	VANCOMYCIN vancomycin 500 mg injection, 1 vial (PI, CMI)	5	5	0	$35.02	$31.60	$31.60
	Available brands
	Vancomycin Viatris

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
3323XDP	VANCOMYCIN vancomycin 500 mg injection, 1 vial (PI, CMI)	2	2	0	$22.09	$23.54	$26.99
	Available brands
	Vancomycin Viatris