Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
11890TMPNP	LEVODOPA + CARBIDOPA levodopa 200 mg + carbidopa 50 mg modified release tablet, 60 (PI, CMI)	1.67	100	5	$72.98	$42.50	$42.50
	Available brands
	Sinemet CR Prolonged-Release Tabletsa

Source	S100 HSD Private
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
11910WMP	LEVODOPA + CARBIDOPA levodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL (PI, CMI)	4	28	5	$5815.78	$42.50	$42.50
	Available brands
	Duodopa

Source	S100 HSD Public
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
11913BMP	LEVODOPA + CARBIDOPA levodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL (PI, CMI)	4	28	5	$5768.00	$42.50	$42.50
	Available brands
	Duodopa

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
11919HMPNP	LEVODOPA + CARBIDOPA levodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL (PI, CMI)	4	28	5	$5902.18	$42.50	$42.50
	Available brands
	Duodopa

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

Note

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
1242JMPNP	LEVODOPA + CARBIDOPA levodopa 100 mg + carbidopa 25 mg tablet, 100 (PI, CMI)	1	100	5	$32.86	$34.16	$38.70
	Available brands
	APO-Levodopa/Carbidopaa
	Kinsona
	SINADOPA 100/25a
	Sinemet 100/25a

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

Note

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
1245MMPNP	LEVODOPA + CARBIDOPA levodopa 250 mg + carbidopa 25 mg tablet, 100 (PI, CMI)	1	100	5	$37.71	$39.01	$42.50
	Available brands
	APO-Levodopa/Carbidopaa
	SINADOPA 250/25a
	Sinemeta

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
1255CMPNP	LEVODOPA + CARBIDOPA levodopa 200 mg + carbidopa 50 mg modified release tablet, 100 (PI, CMI)	1	100	5	$67.94	$42.50	$42.50
	Available brands
	Sinemet CRa

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
8970DMPNP	LEVODOPA + CARBIDOPA levodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL (PI, CMI)	8	56	5	$11697.22	$42.50	$42.50
	Available brands
	Duodopa

Source	S100 HSD Public
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
9743TMP	LEVODOPA + CARBIDOPA levodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL (PI, CMI)	8	56	5	$11536.00	$42.50	$42.50
	Available brands
	Duodopa

Source	S100 HSD Private
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
9744WMP	LEVODOPA + CARBIDOPA levodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL (PI, CMI)	8	56	5	$11583.78	$42.50	$42.50
	Available brands
	Duodopa