Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
14386EMPOP	DORZOLAMIDE + TIMOLOL dorzolamide 2% + timolol 0.5% eye drops, 5 mL (PI, CMI)	2	2	5	$30.86	$31.60	$31.60
	Available brands
	Cosdora
	Vizo-PF Dorzolatima
	Cosopta * Additional charge for this brand is $1.60B	2	2	5	$32.46	$31.60	$33.20

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > ANTIGLAUCOMA PREPARATIONS AND MIOTICS

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
5542QOP	DORZOLAMIDE + TIMOLOL dorzolamide 2% + timolol 0.5% eye drops, 5 mL (PI, CMI)	1	1	5	$22.32	$23.80	$27.25
	Available brands
	Cosdora
	Vizo-PF Dorzolatima
	Cosopta * Additional charge for this brand is $0.80B	1	1	5	$23.12	$23.80	$28.05