Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14369GMPNP	MIRTAZAPINE mirtazapine 15 mg orally disintegrating tablet, 30 (PI, CMI)	2	60	2	$22.08	$23.56	$27.01
	Available brands
	MIRTANZA ODT

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14370HMPNP	MIRTAZAPINE mirtazapine 30 mg orally disintegrating tablet, 30 (PI, CMI)	2	60	2	$23.20	$24.68	$28.13
	Available brands
	MIRTANZA ODT

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14473RMPNP	MIRTAZAPINE mirtazapine 30 mg tablet, 30 (PI, CMI)	2	60	2	$21.32	$22.80	$26.25
	Available brands
	APX-Mirtazapinea
	Axit 30a
	Blooms The Chemist Mirtazapinea
	MIRTANZAa
	MIRTAZAPINE-WGRa
	Mirtazapine Sandoza
	NOUMED MIRTAZAPINEa
	Avanzaa * Additional charge for this brand is $12.02B	2	60	2	$33.34	$22.80	$38.27

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14475WMPNP	MIRTAZAPINE mirtazapine 45 mg orally disintegrating tablet, 30 (PI, CMI)	2	60	2	$27.94	$29.42	$31.60
	Available brands
	MIRTANZA ODT

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14507MMPNP	MIRTAZAPINE mirtazapine 15 mg tablet, 30 (PI, CMI)	2	60	2	$19.68	$21.16	$24.61
	Available brands
	APX-Mirtazapinea
	Axit 15a
	Blooms The Chemist Mirtazapinea
	MIRTANZAa
	MIRTAZAPINE-WGRa
	Mirtazapine Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
14561JMPNP	MIRTAZAPINE mirtazapine 45 mg tablet, 30 (PI, CMI)	2	60	2	$24.02	$25.50	$28.95
	Available brands
	APX-Mirtazapinea
	Axit 45a
	Blooms The Chemist Mirtazapinea
	MIRTANZAa
	MIRTAZAPINE-WGRa
	Mirtazapine Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
8513CMPNP	MIRTAZAPINE mirtazapine 30 mg tablet, 30 (PI, CMI)	1	30	5	$17.55	$19.03	$22.48
	Available brands
	APX-Mirtazapinea
	Axit 30a
	Blooms The Chemist Mirtazapinea
	MIRTANZAa
	MIRTAZAPINE-WGRa
	Mirtazapine Sandoza
	NOUMED MIRTAZAPINEa
	Avanzaa * Additional charge for this brand is $6.01B	1	30	5	$23.56	$19.03	$28.49

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
8855CMPNP	MIRTAZAPINE mirtazapine 15 mg orally disintegrating tablet, 30 (PI, CMI)	1	30	5	$17.93	$19.41	$22.86
	Available brands
	MIRTANZA ODT

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
8856DMPNP	MIRTAZAPINE mirtazapine 30 mg orally disintegrating tablet, 30 (PI, CMI)	1	30	5	$18.49	$19.97	$23.42
	Available brands
	MIRTANZA ODT

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
8857EMPNP	MIRTAZAPINE mirtazapine 45 mg orally disintegrating tablet, 30 (PI, CMI)	1	30	5	$20.86	$22.34	$25.79
	Available brands
	MIRTANZA ODT

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
8883MMPNP	MIRTAZAPINE mirtazapine 45 mg tablet, 30 (PI, CMI)	1	30	5	$18.90	$20.38	$23.83
	Available brands
	APX-Mirtazapinea
	Axit 45a
	Blooms The Chemist Mirtazapinea
	MIRTANZAa
	MIRTAZAPINE-WGRa
	Mirtazapine Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
9365XMPNP	MIRTAZAPINE mirtazapine 15 mg tablet, 30 (PI, CMI)	1	30	5	$16.73	$18.21	$21.66
	Available brands
	APX-Mirtazapinea
	Axit 15a
	Blooms The Chemist Mirtazapinea
	MIRTANZAa
	MIRTAZAPINE-WGRa
	Mirtazapine Sandoza