NICOTINE

Source General Schedule
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
10076HMPNP NICOTINE
nicotine 25 mg/16 hours patch, 28 (PI, CMI)
1 28 2 $50.02 $42.50 $42.50
Available brands
nicorette 16hr Invisipatch
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NICOTINE

Source General Schedule
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
11612EMPNP NICOTINE
nicotine 4 mg chewing gum, 216 (PI, CMI)
1 216 2 $50.02 $42.50 $42.50
Available brands
Nicotinell
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NICOTINE

Source General Schedule
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
11617KMPNP NICOTINE
nicotine 2 mg lozenge, 216 (PI, CMI)
1 216 2 $50.02 $42.50 $42.50
Available brands
Nicotinell
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NICOTINE

Source General Schedule
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
11618LMPNP NICOTINE
nicotine 2 mg chewing gum, 216 (PI, CMI)
2 432 1 $68.96 $42.50 $42.50
Available brands
Nicotinell
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NICOTINE

Source General Schedule
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
11619MMPNP NICOTINE
nicotine 4 mg lozenge, 216 (PI, CMI)
1 216 2 $50.02 $42.50 $42.50
Available brands
Nicotinell
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NICOTINE

Source General Schedule
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
3414QMPNP NICOTINE
nicotine 21 mg/24 hours patch, 28 (PI, CMI)
1 28 2 $50.02 $42.50 $42.50
Available brands
Nicotinell Step 1
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NICOTINE

Source Repatriation Pharmaceutical Benefits
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
4571NMP NICOTINER
nicotine 7 mg/24 hours patch, 7 (PI, CMI)
Available brands
QuitX 2 2 0 $52.62 $6.80 $6.80
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NICOTINE

Source Repatriation Pharmaceutical Benefits
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
4572PMP NICOTINER
nicotine 14 mg/24 hours patch, 7 (PI, CMI)
Available brands
QuitX 2 2 0 $55.78 $6.80 $6.80
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NICOTINE

Source Repatriation Pharmaceutical Benefits
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
4573QMP NICOTINER
nicotine 21 mg/24 hours patch, 7 (PI, CMI)
Available brands
QuitX 2 2 2 $58.74 $6.80 $6.80
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NICOTINE

Source General Schedule
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
5572GMPNP NICOTINE
nicotine 14 mg/24 hours patch, 28 (PI, CMI)
1 28 2 $50.02 $42.50 $42.50
Available brands
Nicotinell Step 2
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NICOTINE

Source General Schedule
Body System NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS
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
5573HMPNP NICOTINE
nicotine 7 mg/24 hours patch, 28 (PI, CMI)
1 28 2 $50.02 $42.50 $42.50
Available brands
Nicotinell Step 3
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner
  • NPNurse Practitioner