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
14495XMPNPOP	BRINZOLAMIDE + TIMOLOL brinzolamide 1% + timolol 0.5% eye drops, 5 mL (PI, CMI)	2	2	5	$40.22	$31.60	$31.60
	Available brands
	Azarga

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

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
3438YMPNP	BRINZOLAMIDE + TIMOLOL brinzolamide 1% + timolol 0.5% eye drops, 5 mL (PI, CMI)	1	1	5	$27.00	$28.48	$31.60
	Available brands
	Azarga

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
5562ROP	BRINZOLAMIDE + TIMOLOL brinzolamide 1% + timolol 0.5% eye drops, 5 mL (PI, CMI)	1	1	5	$27.00	$28.48	$31.60
	Available brands
	Azarga