Source	General Schedule
Body System	VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS

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
2380GMPNP	AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINE amino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 400 g (PI, CMI)	8	8	5	$634.11	$31.60	$31.60
	Available brands
	MSUD Anamix infant

Source	General Schedule
Body System	VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS

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
2650LMPNP	AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHAN amino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 400 g (PI, CMI)	8	8	5	$666.99	$31.60	$31.60
	Available brands
	GA1 Anamix infant

Source	General Schedule
Body System	VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS

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
8058DMPNP	AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINE amino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine powder for oral liquid, 400 g (PI, CMI)	8	8	5	$634.11	$31.60	$31.60
	Available brands
	MMA/PA Anamix infant

Source	General Schedule
Body System	VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS

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
8417BMPNP	AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE amino acid formula with vitamins and minerals without methionine powder for oral liquid, 400 g (PI, CMI)	8	8	5	$634.11	$31.60	$31.60
	Available brands
	HCU Anamix infant

Source	General Schedule
Body System	VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS

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
8445LMPNP	AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINE amino acid formula with vitamins and minerals without phenylalanine and tyrosine powder for oral liquid, 400 g (PI, CMI)	8	8	5	$634.11	$31.60	$31.60
	Available brands
	TYR Anamix infant