Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
2622BMPNP	OXYCODONE oxycodone hydrochloride 5 mg tablet, 20 (PI, CMI)	1	20	0	$22.20	$23.68	$25.00
	Available brands
	Mayne Pharma Oxycodone IRa
	Oxycodone Viatrisa
	Oxyndonea
	ENDONEa * Additional charge for this brand is $2.00B	1	20	0	$24.20	$23.68	$27.00

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8385HMPNP	OXYCODONE oxycodone hydrochloride 10 mg modified release tablet, 28 (PI, CMI)	1	28	0	$30.29	$25.00	$25.00
	Available brands
	OxyContina
	Oxycodone Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8386JMPNP	OXYCODONE oxycodone hydrochloride 20 mg modified release tablet, 28 (PI, CMI)	1	28	0	$38.77	$25.00	$25.00
	Available brands
	OxyContina
	Oxycodone Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8387KMPNP	OXYCODONE oxycodone hydrochloride 40 mg modified release tablet, 28 (PI, CMI)	1	28	0	$48.75	$25.00	$25.00
	Available brands
	OxyContina
	Oxycodone Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8388LMPNP	OXYCODONE oxycodone hydrochloride 80 mg modified release tablet, 28 (PI, CMI)	1	28	0	$67.56	$25.00	$25.00
	Available brands
	OxyContina
	Oxycodone Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8464LMPNP	OXYCODONE oxycodone hydrochloride 5 mg capsule, 20 (PI, CMI)	1	20	0	$31.12	$25.00	$25.00
	Available brands
	OxyNorma
	Oxycodone BNMa

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8501KMPNP	OXYCODONE oxycodone hydrochloride 10 mg capsule, 20 (PI, CMI)	1	20	0	$25.74	$25.00	$25.00
	Available brands
	OxyNorma
	Oxycodone BNMa