Source	General Schedule
Body System	VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS

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
10195NMPNP	GLYCINE WITH CARBOHYDRATE glycine with carbohydrate containing 500 mg glycine powder for oral liquid, 30 x 4 g sachets (PI, CMI)	4	4	5	$496.73	$31.60	$31.60
	Available brands
	Glycine500