Source	S100 HSD Private
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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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
14811MMP	ESKETAMINE esketamine 28 mg/2 actuations nasal spray, 2 actuations (PI, CMI)	4	4	5	$1231.02	$31.60	$31.60
	Available brands
	Spravato