DEXTRAN-70 + HYPROMELLOSE
| Source | General Schedule |
| Body System | SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS |
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 1509KMPNP | DEXTRAN-70 + HYPROMELLOSE dextran-70 0.1% + hypromellose 0.3% eye drops, 15 mL (PI, CMI) |
1 | 1 | 5 | $16.90 | $18.30 | $21.75 |
| Available brands | |||||||
| Poly-Tearsa | |||||||
| Tears Naturalea * Additional charge for this brand is
$3.85B
|
1 | 1 | 5 | $20.75 | $18.30 | $25.60 |
DEXTRAN-70 + HYPROMELLOSE
| Source | General Schedule |
| Body System | SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS |
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 5520MOP | DEXTRAN-70 + HYPROMELLOSE dextran-70 0.1% + hypromellose 0.3% eye drops, 15 mL (PI, CMI) |
1 | 1 | 5 | $16.90 | $18.30 | $21.75 |
| Available brands | |||||||
| Poly-Tearsa | |||||||
| Tears Naturalea * Additional charge for this brand is
$3.85B
|
1 | 1 | 5 | $20.75 | $18.30 | $25.60 |
DEXTRAN-70 + HYPROMELLOSE
SO
Products that are in a Supply Only state will be available for dispensing, but not
for prescribing. PBS Prescriptions written prior to the Supply Only period are able
to be dispensed using either the Supply Only product where available, or an equivalent
product as specified on the PBS schedule.
Supply only
Products that are in a Supply Only state will be available for dispensing, but not
for prescribing. PBS Prescriptions written prior to the Supply Only period are able
to be dispensed using either the Supply Only product where available, or an equivalent
product as specified on the PBS schedule.
| Source | General Schedule |
| Body System | SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS |
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 5521NOP | DEXTRAN-70 + HYPROMELLOSE dextran-70 0.1% + hypromellose 0.3% eye drops, 28 x 0.4 mL ampoules (PI, CMI) |
3 | 3 | 5 | $30.06 | $31.46 | $31.60 |
| Available brands | |||||||
| Bion Tears
SO
Products that are in a Supply Only state will be available for dispensing, but not
for prescribing. PBS Prescriptions written prior to the Supply Only period are able
to be dispensed using either the Supply Only product where available, or an equivalent
product as specified on the PBS schedule.
|
DEXTRAN-70 + HYPROMELLOSE
SO
Products that are in a Supply Only state will be available for dispensing, but not
for prescribing. PBS Prescriptions written prior to the Supply Only period are able
to be dispensed using either the Supply Only product where available, or an equivalent
product as specified on the PBS schedule.
Supply only
Products that are in a Supply Only state will be available for dispensing, but not
for prescribing. PBS Prescriptions written prior to the Supply Only period are able
to be dispensed using either the Supply Only product where available, or an equivalent
product as specified on the PBS schedule.
| Source | General Schedule |
| Body System | SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS |
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 8299TMPNP | DEXTRAN-70 + HYPROMELLOSE dextran-70 0.1% + hypromellose 0.3% eye drops, 28 x 0.4 mL ampoules (PI, CMI) |
3 | 3 | 5 | $30.06 | $31.46 | $31.60 |
| Available brands | |||||||
| Bion Tears
SO
Products that are in a Supply Only state will be available for dispensing, but not
for prescribing. PBS Prescriptions written prior to the Supply Only period are able
to be dispensed using either the Supply Only product where available, or an equivalent
product as specified on the PBS schedule.
|
DEXTRAN-70 + HYPROMELLOSE
| Source | General Schedule |
| Body System | SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS |
|
|
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 9216CMP | DEXTRAN-70 + HYPROMELLOSE dextran-70 0.1% + hypromellose 0.3% eye drops, 15 mL (PI, CMI) |
1 | 1 | 11 | $16.90 | $18.30 | $21.75 |
| Available brands | |||||||
| Poly-Tearsa | |||||||
| Tears Naturalea * Additional charge for this brand is
$3.85B
|
1 | 1 | 11 | $20.75 | $18.30 | $25.60 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- OPOptometrist
-
SO
Supply OnlyProducts that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.
