Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
10015DMPNP	BUDESONIDE + FORMOTEROL budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	5	$42.62	$31.60	$31.60
	Available brands
	Rilast RAPIHALER 100/3a
	Symbicort Rapihaler 100/3a * Additional charge for this brand is $4.96B	2	2	5	$47.58	$31.60	$36.56

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
12042TMPNP	BUDESONIDE + FORMOTEROL budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	2	$42.62	$31.60	$31.60
	Available brands
	Rilast RAPIHALER 100/3a
	Symbicort Rapihaler 100/3a * Additional charge for this brand is $4.96B	2	2	2	$47.58	$31.60	$36.56

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
12089GMP	BUDESONIDE + FORMOTEROL budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations (PI, CMI)	2	2	5	$42.62	$31.60	$31.60
	Available brands
	Rilast RAPIHALER 100/3a
	Symbicort Rapihaler 100/3a * Additional charge for this brand is $4.96B	2	2	5	$47.58	$31.60	$36.56

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
14467KMPNP	BUDESONIDE + FORMOTEROL budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations (PI, CMI)	4	4	5	$71.44	$31.60	$31.60
	Available brands
	Rilast RAPIHALER 100/3a
	Symbicort Rapihaler 100/3a * Additional charge for this brand is $9.92B	4	4	5	$81.36	$31.60	$41.52

Source	General Schedule
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS

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
14535BMP	BUDESONIDE + FORMOTEROL budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations (PI, CMI)	4	4	5	$71.44	$31.60	$31.60
	Available brands
	Rilast RAPIHALER 100/3a
	Symbicort Rapihaler 100/3a * Additional charge for this brand is $9.92B	4	4	5	$81.36	$31.60	$41.52