Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > ANTIMIGRAINE PREPARATIONS

Caution

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
10551HMPNP	RIZATRIPTAN rizatriptan 10 mg orally disintegrating tablet, 2 (PI, CMI)	2	4	5	$22.40	$23.88	$27.33
	Available brands
	APO-RIZATRIPTAN ODTa
	RIXALTa
	RIZATRIPTAN ODT-WGRa
	Rizatriptan ODT APOTEXa
	Rizatriptan-Aua

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > ANTIMIGRAINE PREPARATIONS

Caution

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
9313EMPNP	RIZATRIPTAN rizatriptan 10 mg wafer, 2 (PI, CMI)
	Available brands
	Maxalta * Additional charge for this brand is $4.80B	2	4	5	$27.20	$23.88	$32.13
	Rizatriptan Wafers-10mga * Additional charge for this brand is $3.60B	2	4	5	$26.00	$23.88	$30.93