Source	Palliative Care
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS > PROPULSIVES

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
10762KMPNP	METOCLOPRAMIDEP metoclopramide hydrochloride 10 mg/2 mL injection, 10 x 2 mL ampoules (PI, CMI)	4	40	2	$43.53	$31.60	$31.60
	Available brands
	METOCLOPRAMIDE INJECTION BP

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS > PROPULSIVES

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
1206LMPMWNP	METOCLOPRAMIDE metoclopramide hydrochloride 10 mg/2 mL injection, 10 x 2 mL ampoules (PI, CMI)	1	10	0	$20.62	$22.02	$25.47
	Available brands
	METOCLOPRAMIDE INJECTION BP

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS > PROPULSIVES

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
1207MMPMWNP	METOCLOPRAMIDE metoclopramide hydrochloride 10 mg tablet, 25 (PI, CMI)	1	25	0	$15.68	$17.08	$20.53
	Available brands
	APO-Metoclopramidea
	EMEXLONa
	Pramina
	Maxolona * Additional charge for this brand is $3.55B	1	25	0	$19.23	$17.08	$24.08

Source	Prescriber Bag
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS > PROPULSIVES

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
3476YMPNP	METOCLOPRAMIDE metoclopramide hydrochloride 10 mg/2 mL injection, 10 x 2 mL ampoules (PI, CMI)	1	10	0	$20.62	$0.00	Nil
	Available brands
	METOCLOPRAMIDE INJECTION BP

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS > PROPULSIVES

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
5151DDP	METOCLOPRAMIDE metoclopramide hydrochloride 10 mg tablet, 25 (PI, CMI)	1	25	0	$15.68	$17.08	$20.53
	Available brands
	APO-Metoclopramidea
	EMEXLONa
	Pramina
	Maxolona * Additional charge for this brand is $3.55B	1	25	0	$19.23	$17.08	$24.08

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS > PROPULSIVES

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
5153FDP	METOCLOPRAMIDE metoclopramide hydrochloride 10 mg/2 mL injection, 10 x 2 mL ampoules (PI, CMI)	1	10	0	$20.62	$22.02	$25.47
	Available brands
	METOCLOPRAMIDE INJECTION BP