Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
14696LMPMW	VANCOMYCIN vancomycin 500 mg injection, 1 vial (PI, CMI)	5	5	0	$35.33	$31.60	$31.60
	Available brands
	Vancomycin Junoa
	Vancomycin Viatrisa

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
14704XMPMW	VANCOMYCIN vancomycin 1 g injection, 1 vial (PI, CMI)	3	3	0	$33.15	$31.60	$31.60
	Available brands
	Vancomycin Junoa
	Vancomycin Viatrisa

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
2269KMP	VANCOMYCIN vancomycin 1 g injection, 1 vial (PI, CMI)	1	1	0	$20.24	$21.72	$25.17
	Available brands
	Vancomycin Junoa
	Vancomycin Viatrisa

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
2270LMP	VANCOMYCIN vancomycin 1 g injection, 1 vial (PI, CMI)	3	3	0	$33.15	$31.60	$31.60
	Available brands
	Vancomycin Junoa
	Vancomycin Viatrisa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFECTIVES

Note

Authority Required

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
3113WMPNP	VANCOMYCIN vancomycin 125 mg capsule, 20 (PI, CMI)	2	40	0	$108.76	$31.60	$31.60
	Available brands
	Vancocina
	Vancomycin BNM 125mga

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFECTIVES

Note

Authority Required

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
3114XMPNP	VANCOMYCIN vancomycin 250 mg capsule, 20 (PI, CMI)	2	40	0	$208.16	$31.60	$31.60
	Available brands
	Vancocina
	Vancomycin BNM 250mga

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
3130RMP	VANCOMYCIN vancomycin 500 mg injection, 1 vial (PI, CMI)	2	2	0	$22.42	$23.90	$27.35
	Available brands
	Vancomycin Junoa
	Vancomycin Viatrisa

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
3131TMP	VANCOMYCIN vancomycin 500 mg injection, 1 vial (PI, CMI)	5	5	0	$35.33	$31.60	$31.60
	Available brands
	Vancomycin Junoa
	Vancomycin Viatrisa

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
3323XDP	VANCOMYCIN vancomycin 500 mg injection, 1 vial (PI, CMI)	2	2	0	$22.42	$23.90	$27.35
	Available brands
	Vancomycin Junoa
	Vancomycin Viatrisa

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > OTHER ANTIBACTERIALS

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
5083MDP	VANCOMYCIN vancomycin 1 g injection, 1 vial (PI, CMI)	1	1	0	$20.24	$21.72	$25.17
	Available brands
	Vancomycin Junoa
	Vancomycin Viatrisa