Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

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
13233LMPMWNP	OXYCODONE oxycodone hydrochloride 5 mg tablet, 10 (PI, CMI)	1	10	0	$20.95	$22.43	$25.88
	Available brands
	Oxycodone Viatrisa
	ENDONEa * Additional charge for this brand is $1.00B	1	10	0	$21.95	$22.43	$26.88

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

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
13234MDP	OXYCODONE oxycodone hydrochloride 5 mg tablet, 10 (PI, CMI)	1	10	0	$20.95	$22.43	$25.88
	Available brands
	Oxycodone Viatrisa
	ENDONEa * Additional charge for this brand is $1.00B	1	10	0	$21.95	$22.43	$26.88