Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
5508XOP	CARMELLOSE SODIUM carmellose sodium 1% eye drops, 15 mL (PI, CMI)	1	1	5	$16.14	$17.54	$20.99
	Available brands
	Refresh Liquigel

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
8593GMPNP	CARMELLOSE SODIUM carmellose sodium 1% eye drops, 15 mL (PI, CMI)	1	1	5	$16.14	$17.54	$20.99
	Available brands
	Refresh Liquigel

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Note

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
9212WMP	CARMELLOSE SODIUM carmellose sodium 1% eye drops, 15 mL (PI, CMI)	1	1	11	$16.14	$17.54	$20.99
	Available brands
	Refresh Liquigel