Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
12468FMPNP	BECLOMETASONE + FORMOTEROL + GLYCOPYRRONIUM beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation + glycopyrronium 10 microgram/actuation inhalation, 120 actuations (PI, CMI)	1	1	5	$75.13	$25.00	$25.00
	Available brands
	Trimbow

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
13200RMPNP	BECLOMETASONE + FORMOTEROL + GLYCOPYRRONIUM beclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation + glycopyrronium 10 microgram/actuation inhalation, 120 actuations (PI, CMI)	1	1	5	$80.26	$25.00	$25.00
	Available brands
	Trimbow

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
14310EMPNP	BECLOMETASONE + FORMOTEROL + GLYCOPYRRONIUM beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation + glycopyrronium 10 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	5	$137.60	$25.00	$25.00
	Available brands
	Trimbow

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
14606RMPNP	BECLOMETASONE + FORMOTEROL + GLYCOPYRRONIUM beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation + glycopyrronium 10 microgram/actuation inhalation, 120 actuations (PI, CMI)	1	1	5	$75.13	$25.00	$25.00
	Available brands
	Trimbow

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
15232QMPNP	BECLOMETASONE + FORMOTEROL + GLYCOPYRRONIUM beclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation + glycopyrronium 10 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	5	$148.38	$25.00	$25.00
	Available brands
	Trimbow

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
15243GMPNP	BECLOMETASONE + FORMOTEROL + GLYCOPYRRONIUM beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation + glycopyrronium 10 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	5	$137.60	$25.00	$25.00
	Available brands
	Trimbow