Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
2523TMPNP	NORTRIPTYLINE nortriptyline 25 mg tablet, 50 (PI, CMI)	1	50	2	$18.33	$19.78	$23.23
	Available brands
	NortriTABS 25 mga
	Allegrona * Additional charge for this brand is $1.00B	1	50	2	$19.33	$19.78	$24.23