Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

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
11697PMPNP	LANSOPRAZOLE lansoprazole 30 mg orally disintegrating tablet, 28 (PI, CMI)	1	28	5	$17.76	$19.21	$22.66
	Available brands
	APO-Lansoprazole ODTa
	Lansoprazole ODT GHa
	Zopral ODTa
	Zoton FasTabsa * Additional charge for this brand is $4.68B	1	28	5	$22.44	$19.21	$27.34

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
12276DMP	LANSOPRAZOLE lansoprazole 30 mg orally disintegrating tablet, 28 (PI, CMI)	2	56	5	$22.07	$23.52	$26.97
	Available brands
	APO-Lansoprazole ODTa
	Lansoprazole ODT GHa
	Zopral ODTa
	Zoton FasTabsa * Additional charge for this brand is $9.36B	2	56	5	$31.43	$23.52	$36.33

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
14339QMP	LANSOPRAZOLE lansoprazole 30 mg orally disintegrating tablet, 28 (PI, CMI)	4	112	5	$30.67	$31.60	$31.60
	Available brands
	APO-Lansoprazole ODTa
	Lansoprazole ODT GHa
	Zopral ODTa
	Zoton FasTabsa * Additional charge for this brand is $18.72B	4	112	5	$49.39	$31.60	$50.32

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

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
14342WMPNP	LANSOPRAZOLE lansoprazole 30 mg orally disintegrating tablet, 28 (PI, CMI)	2	56	5	$22.07	$23.52	$26.97
	Available brands
	APO-Lansoprazole ODTa
	Lansoprazole ODT GHa
	Zopral ODTa
	Zoton FasTabsa * Additional charge for this brand is $9.36B	2	56	5	$31.43	$23.52	$36.33

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

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
14406FMPNP	LANSOPRAZOLE lansoprazole 30 mg orally disintegrating tablet, 28 (PI, CMI)	2	56	5	$22.07	$23.52	$26.97
	Available brands
	APO-Lansoprazole ODTa
	Lansoprazole ODT GHa
	Zopral ODTa
	Zoton FasTabsa * Additional charge for this brand is $9.36B	2	56	5	$31.43	$23.52	$36.33

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

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
9477TMPNP	LANSOPRAZOLE lansoprazole 30 mg orally disintegrating tablet, 28 (PI, CMI)	1	28	1	$17.76	$19.21	$22.66
	Available brands
	APO-Lansoprazole ODTa
	Lansoprazole ODT GHa
	Zopral ODTa
	Zoton FasTabsa * Additional charge for this brand is $4.68B	1	28	1	$22.44	$19.21	$27.34

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

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
9478WMPNP	LANSOPRAZOLE lansoprazole 30 mg orally disintegrating tablet, 28 (PI, CMI)	1	28	5	$17.76	$19.21	$22.66
	Available brands
	APO-Lansoprazole ODTa
	Lansoprazole ODT GHa
	Zopral ODTa
	Zoton FasTabsa * Additional charge for this brand is $4.68B	1	28	5	$22.44	$19.21	$27.34