Source	Prescriber Bag
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS > BELLADONNA AND DERIVATIVES, 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
3473TMPNP	HYOSCINE BUTYLBROMIDE hyoscine butylbromide 20 mg/mL injection, 5 x 1 mL ampoules (PI, CMI)	1	5	0	$20.52	$0.00	Nil
	Available brands
	Buscopana
	HYOSCINE BUTYLBROMIDE MEDSURGEa
	HYOSCINE BUTYLBROMIDE SXPa
	HYOSCINE BUTYLBROMIDE-AFTa

Source	Repatriation Pharmaceutical Benefits
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS > BELLADONNA AND DERIVATIVES, 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
4279FMP	HYOSCINE BUTYLBROMIDER hyoscine butylbromide 20 mg/mL injection, 5 x 1 mL ampoules (PI, CMI)
	Available brands
	Buscopana	1	5	0	$20.52	$7.70	$7.70
	HYOSCINE BUTYLBROMIDE MEDSURGEa	1	5	0	$20.52	$7.70	$7.70
	HYOSCINE BUTYLBROMIDE SXPa	1	5	0	$20.52	$7.70	$7.70
	HYOSCINE BUTYLBROMIDE-AFTa	1	5	0	$20.52	$7.70	$7.70

Source	Palliative Care
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS > BELLADONNA AND DERIVATIVES, PLAIN

Authority Required (STREAMLINED)

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
5317WMPNP	HYOSCINE BUTYLBROMIDEP hyoscine butylbromide 20 mg/mL injection, 5 x 1 mL ampoules (PI, CMI)	6	30	3	$55.83	$31.60	$31.60
	Available brands
	Buscopana
	HYOSCINE BUTYLBROMIDE MEDSURGEa
	HYOSCINE BUTYLBROMIDE SXPa
	HYOSCINE BUTYLBROMIDE-AFTa