CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
11852TMPNP CARMELLOSE SODIUM
carmellose sodium 0.5% eye drops, 10 mL (PI, CMI)
1 1 5 $30.42 $31.73 $36.27
Available brands
Evolve Carmellose
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CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
11853WOP CARMELLOSE SODIUM
carmellose sodium 0.5% eye drops, 10 mL (PI, CMI)
1 1 5 $30.42 $31.73 $36.27
Available brands
Evolve Carmellose
space

CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
2324HMPNP CARMELLOSE SODIUM
carmellose sodium 1% eye drops, 30 x 0.4 mL unit doses (PI, CMI)
3 3 5 $29.72 $31.03 $35.57
Available brands
Optifresh Plusa
Celluvisca
* Additional charge for this brand is $6.21B
3 3 5 $35.93 $31.03 $41.78
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CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
2338CMPNP CARMELLOSE SODIUM
carmellose sodium 0.5% eye drops, 30 x 0.4 mL unit doses (PI, CMI)
3 3 5 $29.72 $31.03 $35.57
Available brands
Optifresh Tearsa
Cellufresha
* Additional charge for this brand is $6.21B
3 3 5 $35.93 $31.03 $41.78
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CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
5505ROP CARMELLOSE SODIUM
carmellose sodium 1% eye drops, 30 x 0.4 mL unit doses (PI, CMI)
3 3 5 $29.72 $31.03 $35.57
Available brands
Optifresh Plusa
Celluvisca
* Additional charge for this brand is $6.21B
3 3 5 $35.93 $31.03 $41.78
space

CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
5506TOP CARMELLOSE SODIUM
carmellose sodium 0.5% eye drops, 30 x 0.4 mL unit doses (PI, CMI)
3 3 5 $29.72 $31.03 $35.57
Available brands
Optifresh Tearsa
Cellufresha
* Additional charge for this brand is $6.21B
3 3 5 $35.93 $31.03 $41.78
space

CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
5507WOP CARMELLOSE SODIUM
carmellose sodium 0.5% eye drops, 15 mL (PI, CMI)
1 1 5 $15.29 $16.60 $21.14
Available brands
Refresh Tears Plus
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CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
5508XOP CARMELLOSE SODIUM
carmellose sodium 1% eye drops, 15 mL (PI, CMI)
1 1 5 $15.29 $16.60 $21.14
Available brands
Refresh Liquigel
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CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
8548XMPNP CARMELLOSE SODIUM
carmellose sodium 0.5% eye drops, 15 mL (PI, CMI)
1 1 5 $15.29 $16.60 $21.14
Available brands
Refresh Tears Plus
space

CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
8593GMPNP CARMELLOSE SODIUM
carmellose sodium 1% eye drops, 15 mL (PI, CMI)
1 1 5 $15.29 $16.60 $21.14
Available brands
Refresh Liquigel
space

CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
9211TMP CARMELLOSE SODIUM
carmellose sodium 0.5% eye drops, 15 mL (PI, CMI)
1 1 11 $15.29 $16.60 $21.14
Available brands
Refresh Tears Plus
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CARMELLOSE SODIUM

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS
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
9212WMP CARMELLOSE SODIUM
carmellose sodium 1% eye drops, 15 mL (PI, CMI)
1 1 11 $15.29 $16.60 $21.14
Available brands
Refresh Liquigel
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • OPOptometrist