Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
11681TMPNP	PANTOPRAZOLE pantoprazole 40 mg enteric tablet, 30 (PI, CMI)	1	30	5	$16.88	$18.36	$21.81
	Available brands
	APO-Pantoprazolea
	APX-PANTOPRAZOLEa
	BTC Pantoprazolea
	I-Pantoprazolea
	NOUMED PANTOPRAZOLEa
	Ozpana
	PANTOPRAZOLE-WGRa
	Panthrona
	Pantoprazole Sandoza
	Pantoprazole generichealtha
	Salpraza
	Sozola
	Somaca * Additional charge for this brand is $4.95B	1	30	5	$21.83	$18.36	$26.76

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
12277EMP	PANTOPRAZOLE pantoprazole 40 mg enteric tablet, 30 (PI, CMI)	2	60	5	$19.98	$21.46	$24.91
	Available brands
	APO-Pantoprazolea
	APX-PANTOPRAZOLEa
	BTC Pantoprazolea
	I-Pantoprazolea
	NOUMED PANTOPRAZOLEa
	Ozpana
	PANTOPRAZOLE-WGRa
	Panthrona
	Pantoprazole Sandoza
	Pantoprazole generichealtha
	Salpraza
	Sozola
	Somaca * Additional charge for this brand is $9.90B	2	60	5	$29.88	$21.46	$34.81

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
14330FMPNP	PANTOPRAZOLE pantoprazole 40 mg enteric tablet, 30 (PI, CMI)	2	60	5	$19.98	$21.46	$24.91
	Available brands
	APO-Pantoprazolea
	APX-PANTOPRAZOLEa
	BTC Pantoprazolea
	I-Pantoprazolea
	NOUMED PANTOPRAZOLEa
	Ozpana
	PANTOPRAZOLE-WGRa
	Panthrona
	Pantoprazole Sandoza
	Pantoprazole generichealtha
	Salpraza
	Sozola
	Somaca * Additional charge for this brand is $9.90B	2	60	5	$29.88	$21.46	$34.81

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
14362XMPNP	PANTOPRAZOLE pantoprazole 40 mg enteric tablet, 30 (PI, CMI)	2	60	5	$19.98	$21.46	$24.91
	Available brands
	APO-Pantoprazolea
	APX-PANTOPRAZOLEa
	BTC Pantoprazolea
	I-Pantoprazolea
	NOUMED PANTOPRAZOLEa
	Ozpana
	PANTOPRAZOLE-WGRa
	Panthrona
	Pantoprazole Sandoza
	Pantoprazole generichealtha
	Salpraza
	Sozola
	Somaca * Additional charge for this brand is $9.90B	2	60	5	$29.88	$21.46	$34.81

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

Note

Authority Required

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
14394NMP	PANTOPRAZOLE pantoprazole 40 mg enteric tablet, 30 (PI, CMI)	4	120	5	$26.16	$27.64	$31.09
	Available brands
	APO-Pantoprazolea
	APX-PANTOPRAZOLEa
	BTC Pantoprazolea
	I-Pantoprazolea
	NOUMED PANTOPRAZOLEa
	Ozpana
	PANTOPRAZOLE-WGRa
	Panthrona
	Pantoprazole Sandoza
	Pantoprazole generichealtha
	Salpraza
	Sozola
	Somaca * Additional charge for this brand is $19.80B	4	120	5	$45.96	$27.64	$50.89

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
8007KMPNP	PANTOPRAZOLE pantoprazole 40 mg enteric tablet, 30 (PI, CMI)	1	30	1	$16.88	$18.36	$21.81
	Available brands
	APO-Pantoprazolea
	APX-PANTOPRAZOLEa
	BTC Pantoprazolea
	I-Pantoprazolea
	NOUMED PANTOPRAZOLEa
	Ozpana
	PANTOPRAZOLE-WGRa
	Panthrona
	Pantoprazole Sandoza
	Pantoprazole generichealtha
	Salpraza
	Sozola
	Somaca * Additional charge for this brand is $4.95B	1	30	1	$21.83	$18.36	$26.76

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
8008LMPNP	PANTOPRAZOLE pantoprazole 40 mg enteric tablet, 30 (PI, CMI)	1	30	5	$16.88	$18.36	$21.81
	Available brands
	APO-Pantoprazolea
	APX-PANTOPRAZOLEa
	BTC Pantoprazolea
	I-Pantoprazolea
	NOUMED PANTOPRAZOLEa
	Ozpana
	PANTOPRAZOLE-WGRa
	Panthrona
	Pantoprazole Sandoza
	Pantoprazole generichealtha
	Salpraza
	Sozola
	Somaca * Additional charge for this brand is $4.95B	1	30	5	$21.83	$18.36	$26.76