Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
1258FMPNP	BISACODYL bisacodyl 10 mg suppository, 12 (PI, CMI)	3	3	4	$25.08	$25.00	$25.00
	Available brands
	Petrus Bisacodyl Suppositories

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
1259GMPNP	BISACODYL bisacodyl 5 mg enteric tablet, 200 (PI, CMI)	1	200	2	$20.23	$21.71	$24.50
	Available brands
	Lax-Tab

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
1260HMPNP	BISACODYL bisacodyl 10 mg suppository, 10 (PI, CMI)	3	3	5	$26.43	$25.00	$25.00
	Available brands
	Petrus Bisacodyl Suppositoriesa
	Dulcolaxa * Additional charge for this brand is $1.29B	3	3	5	$27.72	$25.00	$26.29

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
14305XMPNP	BISACODYL bisacodyl 10 mg suppository, 12 (PI, CMI)	6	6	4	$36.36	$25.00	$25.00
	Available brands
	Petrus Bisacodyl Suppositories

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
14446HMPNP	BISACODYL bisacodyl 5 mg enteric tablet, 200 (PI, CMI)	2	400	2	$26.68	$25.00	$25.00
	Available brands
	Lax-Tab

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
14447JMPNP	BISACODYL bisacodyl 10 mg suppository, 10 (PI, CMI)	6	6	5	$39.06	$25.00	$25.00
	Available brands
	Petrus Bisacodyl Suppositoriesa
	Dulcolaxa * Additional charge for this brand is $2.58B	6	6	5	$41.64	$25.00	$27.58