Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTI-DEMENTIA DRUGS

Note

Authority Required (STREAMLINED)

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
2479LMPNP	DONEPEZIL donepezil hydrochloride 10 mg tablet, 28 (PI, CMI)	1	28	5	$20.99	$22.39	$25.68
	Available brands
	APO-Donepezila
	Arazila
	Aridon 10a
	Aridon APN 10a
	Donepezil GHa
	Donepezil Sandoza
	NOUMED DONEPEZILa
	Aricepta * Additional charge for this brand is $7.15B	1	28	5	$28.14	$22.39	$32.83

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTI-DEMENTIA DRUGS

Note

Authority Required (STREAMLINED)

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
2532GMPNP	DONEPEZIL donepezil hydrochloride 5 mg tablet, 28 (PI, CMI)	1	28	5	$20.99	$22.39	$25.68
	Available brands
	APO-Donepezila
	Arazila
	Aridon 5a
	Aridon APN 5a
	Donepezil GHa
	Donepezil Sandoza
	NOUMED DONEPEZILa
	Aricepta * Additional charge for this brand is $2.92B	1	28	5	$23.91	$22.39	$28.60