Legend
- B
- Brand premium applies
- a
- Brand equivalent a
- MP
- Medical Practitioner
- NP
- Nurse Practitioner
| Source | General Schedule |
| Body System | SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS |
 |
| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | Max price to consumer |
|---|---|---|---|---|---|---|---|
| 2681DMPNP | POLYVINYL ALCOHOL polyvinyl alcohol 3% (30 mg/mL) eye drops, 15 mL (PI, CMI) |
1 | 1 | 5 | $10.37 | $11.48 | $15.59 |
| Available brands | |||||||
| PVA Fortea | |||||||
| Liquifilm Fortea * Additional charge for this brand is
$5.59B
|
1 | 1 | 5 | $15.96 | $11.48 | $21.18 |