Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Caution

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
1805BMPNP	CLONAZEPAM clonazepam 500 microgram tablet, 100 (PI, CMI)	2	200	2	$27.34	$28.82	$31.60
	Available brands
	Paxam 0.5a

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Caution

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
1806CMPNP	CLONAZEPAM clonazepam 2 mg tablet, 100 (PI, CMI)	2	200	2	$32.78	$31.60	$31.60
	Available brands
	Paxam 2

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
1807DMPNP	CLONAZEPAM clonazepam 1 mg/mL injection [5 x 1 mL ampoules] (&) inert substance diluent [5 x 1 mL ampoules], 1 pack (PI, CMI)	1	5	0	$24.36	$25.84	$29.29
	Available brands
	Rivotril

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Caution

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
1808EMPNP	CLONAZEPAM clonazepam 2.5 mg/mL (0.1 mg/drop) oral liquid, 10 mL (PI, CMI)	2	2	0	$21.32	$22.80	$26.25
	Available brands
	Rivotril

Source	Prescriber Bag
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
3478CMPNP	CLONAZEPAM clonazepam 2.5 mg/mL (0.1 mg/drop) oral liquid, 10 mL (PI, CMI)	1	1	0	$17.55	$0.00	Nil
	Available brands
	Rivotril

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
5337XMPNP	CLONAZEPAMP clonazepam 500 microgram tablet, 100 (PI, CMI)	1	100	3	$20.56	$22.04	$25.49
	Available brands
	Paxam 0.5a

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
5338YMPNP	CLONAZEPAMP clonazepam 2 mg tablet, 100 (PI, CMI)	1	100	3	$23.28	$24.76	$28.21
	Available brands
	Paxam 2

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
5339BMPNP	CLONAZEPAMP clonazepam 2.5 mg/mL (0.1 mg/drop) oral liquid, 10 mL (PI, CMI)	2	2	3	$21.32	$22.80	$26.25
	Available brands
	Rivotril