Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
5556KOP	CARMELLOSE SODIUM + GLYCEROL carmellose sodium 0.5% + glycerol 0.9% eye drops, 15 mL (PI, CMI)	1	1	3	$16.61	$18.06	$21.51
	Available brands
	Optive

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
9355JMPNP	CARMELLOSE SODIUM + GLYCEROL carmellose sodium 0.5% + glycerol 0.9% eye drops, 15 mL (PI, CMI)	1	1	3	$16.61	$18.06	$21.51
	Available brands
	Optive

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
9356KMP	CARMELLOSE SODIUM + GLYCEROL carmellose sodium 0.5% + glycerol 0.9% eye drops, 15 mL (PI, CMI)	1	1	7	$16.61	$18.06	$21.51
	Available brands
	Optive