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
10694WMPNP	SUMATRIPTAN SUMATRIPTAN Tablet 50 mg (base) (fast disintegrating), 4 (PI, CMI)
	Available brands
	Imigran FDTa * Additional charge for this brand is $4.19B	1	4	5	$23.89	$21.15	$28.79

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
1849HMPNP	SUMATRIPTAN sumatriptan 50 mg tablet, 4 (PI, CMI)	1	4	5	$19.70	$21.15	$24.60
	Available brands
	APO-Sumatriptana
	Iptama
	Pharmacor Sumatriptan 50a
	SUMATRIPTAN-WGRa
	Sumatrana
	Sumatriptan Sandoza
	Sumatriptan generichealtha
	Imigrana * Additional charge for this brand is $4.19B	1	4	5	$23.89	$21.15	$28.79

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
8144PMPNP	SUMATRIPTAN sumatriptan 50 mg tablet, 2 (PI, CMI)	2	4	5	$19.71	$21.16	$24.61
	Available brands
	APO-Sumatriptana
	Iptama
	Sumagraine Migraine Reliefa
	Sumatrana
	Imigrana * Additional charge for this brand is $4.18B	2	4	5	$23.89	$21.16	$28.79
	IMIGRAN MIGRAINEa * Additional charge for this brand is $4.18B	2	4	5	$23.89	$21.16	$28.79