Source	General Schedule
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
10076HMPNP	NICOTINE nicotine 25 mg/16 hours patch, 28 (PI, CMI)	1	28	2	$50.87	$31.60	$31.60
	Available brands
	nicorette 16hr Invisipatch

Source	General Schedule
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
3414QMPNP	NICOTINE nicotine 21 mg/24 hours patch, 28 (PI, CMI)	1	28	2	$50.87	$31.60	$31.60
	Available brands
	Nicotinell Step 1

Source	Repatriation Pharmaceutical Benefits
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
4571NMP	NICOTINER nicotine 7 mg/24 hours patch, 7 (PI, CMI)
	Available brands
	QuitX	2	2	0	$53.47	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
4572PMP	NICOTINER nicotine 14 mg/24 hours patch, 7 (PI, CMI)
	Available brands
	QuitX	2	2	0	$56.63	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
4573QMP	NICOTINER nicotine 21 mg/24 hours patch, 7 (PI, CMI)
	Available brands
	QuitX	2	2	2	$59.59	$7.70	$7.70

Source	General Schedule
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
5572GMPNP	NICOTINE nicotine 14 mg/24 hours patch, 28 (PI, CMI)	1	28	2	$50.87	$31.60	$31.60
	Available brands
	Nicotinell Step 2

Source	General Schedule
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
5573HMPNP	NICOTINE nicotine 7 mg/24 hours patch, 28 (PI, CMI)	1	28	2	$50.87	$31.60	$31.60
	Available brands
	Nicotinell Step 3