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

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
14318NMPNPOP	HYPROMELLOSE hypromellose 0.3% w/w eye drops, 10 mL (PI, CMI)	2	2	5	$19.22	$20.70	$24.15
	Available brands
	Revive Tears