Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > CORTICOSTEROIDS FOR SYSTEMIC USE > CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

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
13863PMPNP	HYDROCORTISONE hydrocortisone 4 mg tablet, 50 (PI, CMI)	2	100	4	$42.72	$31.60	$31.60
	Available brands
	Hydrocortisone Viatris 4a
	Hysone 4a * Additional charge for this brand is $6.00B	2	100	4	$48.72	$31.60	$37.60

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > CORTICOSTEROIDS FOR SYSTEMIC USE > CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

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
1499XMPNP	HYDROCORTISONE hydrocortisone 4 mg tablet, 50 (PI, CMI)	1	50	4	$28.25	$29.73	$31.60
	Available brands
	Hydrocortisone Viatris 4a
	Hysone 4a * Additional charge for this brand is $3.00B	1	50	4	$31.25	$29.73	$34.60