Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
5542QOP	DORZOLAMIDE + TIMOLOL dorzolamide 2% + timolol 0.5% eye drops, 5 mL (PI, CMI)	1	1	5	$21.52	$22.92	$26.37
	Available brands
	Cosdora
	Vizo-PF Dorzolatima
	Cosopta * Additional charge for this brand is $0.80B	1	1	5	$22.32	$22.92	$27.17

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
8567XMP	DORZOLAMIDE + TIMOLOL dorzolamide 2% + timolol 0.5% eye drops, 5 mL (PI, CMI)	1	1	5	$21.52	$22.92	$26.37
	Available brands
	Cosdora
	Vizo-PF Dorzolatima
	Cosopta * Additional charge for this brand is $0.80B	1	1	5	$22.32	$22.92	$27.17