Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

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
11933CMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	2	20	0	$17.72	$19.03	$23.57
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duo Fortea
	AmoxyClav generichealth 875/125a
	Amoxyclav AN 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $13.52B	2	20	0	$31.24	$19.03	$37.09

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
5006LDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$14.93	$16.24	$20.78
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duo Fortea
	AmoxyClav generichealth 875/125a
	Amoxyclav AN 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $6.76B	1	10	0	$21.69	$16.24	$27.54

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

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
8254KMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$14.93	$16.24	$20.78
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duo Fortea
	AmoxyClav generichealth 875/125a
	Amoxyclav AN 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $6.76B	1	10	0	$21.69	$16.24	$27.54