Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
14357PMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 150 mg + carbidopa 37.5 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$227.00	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 150/37.5/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
14456WMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 50 mg + carbidopa 12.5 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$189.24	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 50/12.5/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
14457XMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 200 mg + carbidopa 50 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$244.32	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 200/50/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
14498CMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 75 mg + carbidopa 18.75 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$197.52	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 75/18.75/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
14527NMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 125 mg + carbidopa 31.25 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$215.64	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 125/31.25/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
14554BMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 100 mg + carbidopa 25 mg + entacapone 200 mg tablet, 100 (PI, CMI)	4	400	4	$208.12	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 100/25/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
8797BMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 50 mg + carbidopa 12.5 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$99.72	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 50/12.5/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
8798CMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 100 mg + carbidopa 25 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$108.72	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 100/25/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
8799DMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 150 mg + carbidopa 37.5 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$117.88	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 150/37.5/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
9292CMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 200 mg + carbidopa 50 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$126.56	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 200/50/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
9344TMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 75 mg + carbidopa 18.75 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$103.68	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 75/18.75/200mga

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC 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
9345WMPNP	LEVODOPA + CARBIDOPA + ENTACAPONE levodopa 125 mg + carbidopa 31.25 mg + entacapone 200 mg tablet, 100 (PI, CMI)	2	200	4	$112.30	$25.00	$25.00
	Available brands
	Carleventa
	L.C.E. Sandoza
	Lectevaa
	Stalevo 125/31.25/200mga