POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL

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
13100LMPNP POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL
polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 30 x 0.8 mL unit doses (PI, CMI)
2 2 5 $33.08 $34.39 $38.93
Available brands
Systane
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POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL

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
13113EOP POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL
polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 30 x 0.8 mL unit doses (PI, CMI)
2 2 5 $33.08 $34.39 $38.93
Available brands
Systane
space


  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner
  • OPOptometrist