Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS

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
13933HMPNP	BICARBONATE sodium bicarbonate 840 mg capsule, 100 (PI, CMI)	2	200	2	$30.18	$31.60	$31.60
	Available brands
	Sodibic

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS

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
9470KMPNP	BICARBONATE sodium bicarbonate 840 mg capsule, 100 (PI, CMI)	1	100	2	$21.98	$23.46	$26.91
	Available brands
	Sodibic