Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

Authority Required (STREAMLINED)

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
10795EMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% ointment, 15 g (PI, CMI)	2	2	5	$21.31	$22.76	$26.21
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $4.90B	2	2	5	$26.21	$22.76	$31.11

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

Authority Required (STREAMLINED)

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
10800KMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% cream, 15 g (PI, CMI)	4	4	5	$29.15	$30.60	$31.60
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $9.80B	4	4	5	$38.95	$30.60	$41.40

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

Authority Required (STREAMLINED)

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
10801LMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% cream, 15 g (PI, CMI)	8	8	5	$44.83	$31.60	$31.60
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $19.60B	8	8	5	$64.43	$31.60	$51.20

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

Authority Required (STREAMLINED)

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
10802MMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% cream, 15 g (PI, CMI)	10	10	5	$52.67	$31.60	$31.60
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $24.50B	10	10	5	$77.17	$31.60	$56.10

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

Authority Required (STREAMLINED)

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
10813DMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% cream, 15 g (PI, CMI)	6	6	5	$36.99	$31.60	$31.60
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $14.70B	6	6	5	$51.69	$31.60	$46.30

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

Authority Required (STREAMLINED)

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
10816GMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% ointment, 15 g (PI, CMI)	8	8	5	$44.83	$31.60	$31.60
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $19.60B	8	8	5	$64.43	$31.60	$51.20

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

Authority Required (STREAMLINED)

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
10820LMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% ointment, 15 g (PI, CMI)	4	4	5	$29.15	$30.60	$31.60
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $9.80B	4	4	5	$38.95	$30.60	$41.40

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

Authority Required (STREAMLINED)

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
10821MMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% ointment, 15 g (PI, CMI)	6	6	5	$36.99	$31.60	$31.60
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $14.70B	6	6	5	$51.69	$31.60	$46.30

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

Authority Required (STREAMLINED)

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
10823PMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% ointment, 15 g (PI, CMI)	10	10	5	$52.67	$31.60	$31.60
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $24.50B	10	10	5	$77.17	$31.60	$56.10

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

Authority Required (STREAMLINED)

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
10824QMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% cream, 15 g (PI, CMI)	2	2	5	$21.31	$22.76	$26.21
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $4.90B	2	2	5	$26.21	$22.76	$31.11

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

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
1115QMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% cream, 15 g (PI, CMI)	1	1	1	$17.38	$18.83	$22.28
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $2.45B	1	1	1	$19.83	$18.83	$24.73

Source	General Schedule
Body System	DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN

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
1119XMPNP	BETAMETHASONE DIPROPIONATE betamethasone (as dipropionate) 0.05% ointment, 15 g (PI, CMI)	1	1	1	$17.38	$18.83	$22.28
	Available brands
	Eleuphrata
	Diprosonea * Additional charge for this brand is $2.45B	1	1	1	$19.83	$18.83	$24.73