Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS

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
13957NMPNP	OXYBUTYNIN oxybutynin hydrochloride 5 mg tablet, 100 (PI, CMI)	2	200	5	$21.85	$23.30	$26.75
	Available brands
	Ditropan

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS

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
8039DMPNP	OXYBUTYNIN oxybutynin hydrochloride 5 mg tablet, 100 (PI, CMI)	1	100	5	$17.65	$19.10	$22.55
	Available brands
	Ditropan