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
1750DMPNP	PARAFFIN paraffin 1 g/g eye ointment, 2 x 3.5 g (PI, CMI)	1	1	5	$20.37	$21.77	$25.22
	Available brands
	Poly Visc
	Refresh Night Time * Additional charge for this brand is $1.09B	1	1	5	$21.46	$21.77	$26.31

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
1754HMPNP	PARAFFIN paraffin 1 g/g eye ointment, 3.5 g (PI, CMI)	2	2	5	$20.69	$22.09	$25.54
	Available brands
	Poly Visc

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
5522POP	PARAFFIN paraffin 1 g/g eye ointment, 2 x 3.5 g (PI, CMI)	1	1	5	$20.37	$21.77	$25.22
	Available brands
	Poly Visc
	Refresh Night Time * Additional charge for this brand is $1.09B	1	1	5	$21.46	$21.77	$26.31

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
5523QOP	PARAFFIN paraffin 1 g/g eye ointment, 3.5 g (PI, CMI)	2	2	5	$20.69	$22.09	$25.54
	Available brands
	Poly Visc

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
9217DMP	PARAFFIN paraffin 1 g/g eye ointment, 3.5 g (PI, CMI)	2	2	11	$20.69	$22.09	$25.54
	Available brands
	Poly Visc

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

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
9218EMP	PARAFFIN paraffin 1 g/g eye ointment, 2 x 3.5 g (PI, CMI)	1	1	11	$20.37	$21.77	$25.22
	Available brands
	Poly Visc
	Refresh Night Time * Additional charge for this brand is $1.09B	1	1	11	$21.46	$21.77	$26.31