Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
1594XMPNP	ONDANSETRON ondansetron 4 mg tablet, 10 (PI, CMI)	1	10	1	$22.40	$23.80	$27.25
	Available brands
	APO-Ondansetrona
	APX-Ondansetrona
	Ondansetron Mylan Tabletsa
	Ondansetron SZa
	Ondansetron-DRLAa
	Zofrana
	Zotren 4a

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
1595YMPNP	ONDANSETRON ondansetron 8 mg tablet, 10 (PI, CMI)	1	10	1	$24.63	$26.03	$29.48
	Available brands
	APO-Ondansetrona
	APX-Ondansetrona
	Ondansetron Mylan Tabletsa
	Ondansetron SZa
	Ondansetron-DRLAa
	Zofrana
	Zotren 8a

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
5470XMPNP	ONDANSETRON ondansetron 4 mg orally disintegrating tablet, 4 (PI, CMI)	1	4	0	$16.90	$18.30	$21.75
	Available brands
	APX-Ondansetron ODTa
	Ondansetron Mylan ODTa
	Ondansetron ODT-DRLAa
	Ondansetron SZ ODTa
	Zotren ODTa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
5471YMPNP	ONDANSETRON ondansetron 8 mg orally disintegrating tablet, 4 (PI, CMI)	1	4	0	$17.73	$19.13	$22.58
	Available brands
	APX-Ondansetron ODTa
	Ondansetron Mylan ODTa
	Ondansetron ODT-DRLAa
	Ondansetron SZ ODTa
	Zotren ODTa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
5472BMPNP	ONDANSETRON ondansetron 4 mg orally disintegrating tablet, 10 (PI, CMI)	1	10	1	$22.40	$23.80	$27.25
	Available brands
	APX-Ondansetron ODTa
	Ondansetron Mylan ODTa
	Ondansetron ODT Lupina
	Ondansetron ODT-DRLAa
	Ondansetron SZ ODTa
	Zotren ODTa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
5473CMPNP	ONDANSETRON ondansetron 8 mg orally disintegrating tablet, 10 (PI, CMI)	1	10	1	$24.63	$26.03	$29.48
	Available brands
	APX-Ondansetron ODTa
	Ondansetron Mylan ODTa
	Ondansetron ODT Lupina
	Ondansetron ODT-DRLAa
	Ondansetron SZ ODTa
	Zotren ODTa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
8224WMPNP	ONDANSETRON ondansetron 4 mg tablet, 4 (PI, CMI)	1	4	0	$16.90	$18.30	$21.75
	Available brands
	APO-Ondansetrona
	APX-Ondansetrona
	Ondansetron Mylan Tabletsa
	Ondansetron SZa
	Ondansetron-DRLAa
	Zofrana
	Zotren 4a

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
8225XMPNP	ONDANSETRON ondansetron 8 mg tablet, 4 (PI, CMI)	1	4	0	$17.73	$19.13	$22.58
	Available brands
	APO-Ondansetrona
	APX-Ondansetrona
	Ondansetron Mylan Tabletsa
	Ondansetron SZa
	Ondansetron-DRLAa
	Zofrana
	Zotren 8a

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
8233HMPNP	ONDANSETRON ondansetron 4 mg/5 mL oral liquid, 50 mL (PI, CMI)	1	1	1	$99.84	$31.60	$31.60
	Available brands
	Zofran syrup 50 mL

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
8412RMPNP	ONDANSETRON ondansetron 4 mg wafer, 10 (PI, CMI)
	Available brands
	Zofran Zydisa * Additional charge for this brand is $3.46B	1	10	1	$25.86	$23.80	$30.71

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
8413TMPNP	ONDANSETRON ondansetron 8 mg wafer, 10 (PI, CMI)
	Available brands
	Zofran Zydisa * Additional charge for this brand is $3.45B	1	10	1	$30.83	$28.78	$35.05

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIEMETICS AND ANTINAUSEANTS > ANTIEMETICS AND ANTINAUSEANTS

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
9441XMPNP	ONDANSETRON ondansetron 4 mg/5 mL oral liquid, 50 mL (PI, CMI)	1	1	0	$99.84	$31.60	$31.60
	Available brands
	Zofran syrup 50 mL