Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS

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
13359DMPNP	BACLOFEN baclofen 25 mg tablet, 100 (PI, CMI)	2	200	5	$57.42	$31.60	$31.60
	Available brands
	APO-Baclofena
	Clofen 25a
	Lioresal 25a
	Stelax 25a

Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS

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
13522QMPNP	BACLOFEN baclofen 10 mg tablet, 100 (PI, CMI)	2	200	5	$33.76	$31.60	$31.60
	Available brands
	APO-Baclofena
	Clofen 10a
	Lioresal 10a
	Stelax 10a

Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS

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
2729PMPNP	BACLOFEN baclofen 10 mg tablet, 100 (PI, CMI)	1	100	5	$23.77	$25.25	$28.70
	Available brands
	APO-Baclofena
	Clofen 10a
	Lioresal 10a
	Stelax 10a

Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS

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
2730QMPNP	BACLOFEN baclofen 25 mg tablet, 100 (PI, CMI)	1	100	5	$35.60	$31.60	$31.60
	Available brands
	APO-Baclofena
	Clofen 25a
	Lioresal 25a
	Stelax 25a