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	$15.05	$16.36	$19.65
	Available brands
	In a Wink Moisturisinga
	Revive Tearsa
	Genteala * Additional charge for this brand is $3.41B	1	1	5	$18.46	$16.36	$23.06

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

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
11643TMP	HYPROMELLOSE hypromellose 0.3% w/w eye drops, 10 mL (PI, CMI)	1	1	11	$15.05	$16.36	$19.65
	Available brands
	In a Wink Moisturisinga
	Revive Tearsa
	Genteala * Additional charge for this brand is $3.41B	1	1	11	$18.46	$16.36	$23.06