Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
11327EMPNP	BRIVARACETAM brivaracetam 25 mg tablet, 56 (PI, CMI)	1	56	5	$156.82	$31.60	$31.60
	Available brands
	Briviact

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
11328FMP	BRIVARACETAM brivaracetam 25 mg tablet, 56 (PI, CMI)	1	56	5	$156.82	$31.60	$31.60
	Available brands
	Briviact

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
11334MMP	BRIVARACETAM brivaracetam 50 mg tablet, 56 (PI, CMI)	1	56	5	$156.82	$31.60	$31.60
	Available brands
	Briviact

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
11338RMPNP	BRIVARACETAM brivaracetam 50 mg tablet, 56 (PI, CMI)	1	56	5	$156.82	$31.60	$31.60
	Available brands
	Briviact

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
11339TMP	BRIVARACETAM brivaracetam 100 mg tablet, 56 (PI, CMI)	1	56	5	$156.82	$31.60	$31.60
	Available brands
	Briviact

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
11349HMP	BRIVARACETAM brivaracetam 10 mg/mL oral liquid, 300 mL (PI, CMI)	1	1	5	$194.03	$31.60	$31.60
	Available brands
	Briviact

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
11350JMPNP	BRIVARACETAM brivaracetam 75 mg tablet, 56 (PI, CMI)	1	56	5	$156.82	$31.60	$31.60
	Available brands
	Briviact

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
11356QMP	BRIVARACETAM brivaracetam 75 mg tablet, 56 (PI, CMI)	1	56	5	$156.82	$31.60	$31.60
	Available brands
	Briviact

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
11357RMPNP	BRIVARACETAM brivaracetam 100 mg tablet, 56 (PI, CMI)	1	56	5	$156.82	$31.60	$31.60
	Available brands
	Briviact

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
11358TMPNP	BRIVARACETAM brivaracetam 10 mg/mL oral liquid, 300 mL (PI, CMI)	1	1	5	$194.03	$31.60	$31.60
	Available brands
	Briviact