Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13310MMPNP	BUPRENORPHINE buprenorphine 400 microgram sublingual tablet, 7 (PI, CMI)	4	28	5	$36.30	$25.00	$25.00
	Available brands
	Subutex

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13320CMPNP	BUPRENORPHINE buprenorphine 100 mg/0.5 mL modified release injection, 0.5 mL syringe (PI, CMI)	1	1	5	$379.54	$25.00	$25.00
	Available brands
	Sublocade

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13327KMPNP	BUPRENORPHINE buprenorphine 300 mg/1.5 mL modified release injection, 1.5 mL syringe (PI, CMI)	1	1	5	$379.54	$25.00	$25.00
	Available brands
	Sublocade

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13336XMPNP	BUPRENORPHINE buprenorphine 2 mg sublingual tablet, 7 (PI, CMI)	12	84	5	$120.22	$25.00	$25.00
	Available brands
	Subutex

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > OTHER NERVOUS SYSTEM DRUGS > DRUGS USED IN ADDICTIVE DISORDERS

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
13337YMPNP	BUPRENORPHINE buprenorphine 8 mg sublingual tablet, 7 (PI, CMI)	16	112	5	$413.58	$25.00	$25.00
	Available brands
	Subutex