POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL

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 General Patient Charge
5524ROP POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL
polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 15 mL (PI, CMI)
1 1 5 $16.31 $17.79 $21.24
Available brands
Systane
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