Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
14385DMPNPOP	CARBOMER-980 carbomer-980 0.2% eye gel, 10 g (PI, CMI)	2	2	5	$20.50	$21.98	$25.43
	Available brands
	Optifresh eye gela
	PAAa
	Viscotearsa * Additional charge for this brand is $7.70B	2	2	5	$28.20	$21.98	$33.13

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
5503POP	CARBOMER-980 carbomer-980 0.2% eye gel, 10 g (PI, CMI)	1	1	5	$17.14	$18.62	$22.07
	Available brands
	Optifresh eye gela
	PAAa
	Viscotearsa * Additional charge for this brand is $3.85B	1	1	5	$20.99	$18.62	$25.92

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
8384GMPNP	CARBOMER-980 carbomer-980 0.2% eye gel, 10 g (PI, CMI)	1	1	5	$17.14	$18.62	$22.07
	Available brands
	Optifresh eye gela
	PAAa
	Viscotearsa * Additional charge for this brand is $3.85B	1	1	5	$20.99	$18.62	$25.92