BACLOFEN

Source S100 HSD Public
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
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
11126NMP BACLOFEN
baclofen 10 mg/5 mL intrathecal injection, 10 x 5 mL ampoules (PI, CMI)
1 10 0 $958.00 $42.50 $42.50
Available brands
Sintetica Baclofen Intrathecala
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BACLOFEN

Source S100 HSD Private
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
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
11128QMP BACLOFEN
baclofen 10 mg/5 mL intrathecal injection, 10 x 5 mL ampoules (PI, CMI)
1 10 0 $1004.14 $42.50 $42.50
Available brands
Sintetica Baclofen Intrathecala
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BACLOFEN

Source S100 HSD Private
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
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
11194EMP BACLOFEN
baclofen 40 mg/20 mL intrathecal injection, 20 mL ampoule (PI, CMI)
2 2 0 $804.70 $42.50 $42.50
Available brands
Sintetica Baclofen Intrathecal
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BACLOFEN

Source S100 HSD Public
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
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
11195FMP BACLOFEN
baclofen 40 mg/20 mL intrathecal injection, 20 mL ampoule (PI, CMI)
2 2 0 $766.24 $42.50 $42.50
Available brands
Sintetica Baclofen Intrathecal
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BACLOFEN

Source S100 HSD Private
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
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
11420CMP BACLOFEN
baclofen 10 mg/5 mL intrathecal injection, 5 x 5 mL ampoules (PI, CMI)
2 10 0 $1004.14 $42.50 $42.50
Available brands
Bacthecala
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BACLOFEN

Source S100 HSD Public
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
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
11421DMP BACLOFEN
baclofen 10 mg/5 mL intrathecal injection, 5 x 5 mL ampoules (PI, CMI)
2 10 0 $958.00 $42.50 $42.50
Available brands
Bacthecala
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BACLOFEN

Source General Schedule
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
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
2729PMPNP BACLOFEN
baclofen 10 mg tablet, 100 (PI, CMI)
1 100 5 $22.12 $23.43 $27.97
Available brands
APO-Baclofena
Clofen 10a
Lioresal 10a
Stelax 10a
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BACLOFEN

Source General Schedule
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
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
2730QMPNP BACLOFEN
baclofen 25 mg tablet, 100 (PI, CMI)
1 100 5 $33.95 $35.26 $39.80
Available brands
APO-Baclofena
Clofen 25a
Lioresal 25a
Stelax 25a
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BACLOFEN

Source S100 HSD Public
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
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
5617PMP BACLOFEN
baclofen 10 mg/5 mL intrathecal injection, 5 mL ampoule (PI, CMI)
10 10 0 $958.00 $42.50 $42.50
Available brands
Bacthecala
Lioresal Intrathecala
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BACLOFEN

Source S100 HSD Private
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
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
6284RMP BACLOFEN
baclofen 10 mg/5 mL intrathecal injection, 5 mL ampoule (PI, CMI)
10 10 0 $1004.12 $42.50 $42.50
Available brands
Bacthecala
Lioresal Intrathecala
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  • Legend
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner