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
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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% eye drops, 15 mL (PI, CMI)
1 1 5 $10.48 $11.61 $15.80
Available brands
PVA Fortea
Liquifilm Fortea
* Additional charge for this brand is $5.59B
1 1 5 $16.07 $11.61 $21.39
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