Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
11625WMPNP	HYPROMELLOSE hypromellose 0.3% w/w eye drops, 10 mL (PI, CMI)	1	1	5	$16.50	$17.98	$21.43
	Available brands
	Revive Tears

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
11634HOP	HYPROMELLOSE hypromellose 0.3% w/w eye drops, 10 mL (PI, CMI)	1	1	5	$16.50	$17.98	$21.43
	Available brands
	Revive Tears

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Note

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
11842GMPNP	HYPROMELLOSE hypromellose 0.3% w/v eye drops, 10 mL (PI, CMI)	1	1	5	$25.34	$26.82	$30.27
	Available brands
	Evolve Hypromellose

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Note

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
11849POP	HYPROMELLOSE hypromellose 0.3% w/v eye drops, 10 mL (PI, CMI)	1	1	5	$25.34	$26.82	$30.27
	Available brands
	Evolve Hypromellose

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
2956NMPNP	HYPROMELLOSE hypromellose 0.5% eye drops, 15 mL (PI, CMI)	1	1	5	$17.55	$19.03	$22.48
	Available brands
	Methopt

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
5517JOP	HYPROMELLOSE hypromellose 0.5% eye drops, 15 mL (PI, CMI)	1	1	5	$17.55	$19.03	$22.48
	Available brands
	Methopt