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
14076WMPNP	HYDROMORPHONE hydromorphone hydrochloride 1 mg/mL oral liquid, 500 mL (PI, CMI)	1	500	0	$434.76	$31.60	$31.60
	Available brands
	pms-HYDROmorphone

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
14080CDP	HYDROMORPHONE hydromorphone hydrochloride 1 mg/mL oral liquid, 500 mL (PI, CMI)	1	500	0	$434.76	$31.60	$31.60
	Available brands
	pms-HYDROmorphone

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
14084GMPNP	HYDROMORPHONEP hydromorphone hydrochloride 1 mg/mL oral liquid, 500 mL (PI, CMI)	1	500	1	$434.76	$31.60	$31.60
	Available brands
	pms-HYDROmorphone