DIAZEPAM

Source General Schedule
Body System NERVOUS SYSTEM > PSYCHOLEPTICS > ANXIOLYTICS
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
2669LMPNP DIAZEPAM
diazepam 10 mg/10 mL oral liquid, 100 mL (PI, CMI)
1 1 0 $44.00 $42.50 $42.50
Available brands
Diazepam Elixir
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DIAZEPAM

Source General Schedule
Body System NERVOUS SYSTEM > PSYCHOLEPTICS > ANXIOLYTICS
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
3161JMPNP DIAZEPAM
diazepam 2 mg tablet, 50 (PI, CMI)
1 50 0 $13.78 $15.09 $19.63
Available brands
APO-Diazepama
APX-Diazepama
Valpam 2a
Antenex 2a
* Additional charge for this brand is $2.78B
1 50 0 $16.56 $15.09 $22.41
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DIAZEPAM

Source General Schedule
Body System NERVOUS SYSTEM > PSYCHOLEPTICS > ANXIOLYTICS
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
3162KMPNP DIAZEPAM
diazepam 5 mg tablet, 50 (PI, CMI)
1 50 0 $13.84 $15.15 $19.69
Available brands
APO-Diazepama
APX-Diazepama
Antenex 5a
NOUMED DIAZEPAMa
Valpam 5a
Valiuma
* Additional charge for this brand is $3.07B
1 50 0 $16.91 $15.15 $22.76
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DIAZEPAM

Source General Schedule
Body System NERVOUS SYSTEM > PSYCHOLEPTICS > ANXIOLYTICS
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
5071XDP DIAZEPAM
diazepam 2 mg tablet, 50 (PI, CMI)
1 50 0 $13.78 $15.09 $19.63
Available brands
APO-Diazepama
APX-Diazepama
Valpam 2a
Antenex 2a
* Additional charge for this brand is $2.78B
1 50 0 $16.56 $15.09 $22.41
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DIAZEPAM

Source General Schedule
Body System NERVOUS SYSTEM > PSYCHOLEPTICS > ANXIOLYTICS
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
5072YDP DIAZEPAM
diazepam 5 mg tablet, 50 (PI, CMI)
1 50 0 $13.84 $15.15 $19.69
Available brands
APO-Diazepama
APX-Diazepama
Antenex 5a
NOUMED DIAZEPAMa
Valpam 5a
Valiuma
* Additional charge for this brand is $3.07B
1 50 0 $16.91 $15.15 $22.76
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DIAZEPAM

Source Palliative Care
Body System NERVOUS SYSTEM > PSYCHOLEPTICS > ANXIOLYTICS
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
5355WMPNP DIAZEPAMP
diazepam 2 mg tablet, 50 (PI, CMI)
1 50 3 $13.78 $15.09 $19.63
Available brands
APO-Diazepama
APX-Diazepama
Valpam 2a
Antenex 2a
* Additional charge for this brand is $2.78B
1 50 3 $16.56 $15.09 $22.41
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DIAZEPAM

Source Palliative Care
Body System NERVOUS SYSTEM > PSYCHOLEPTICS > ANXIOLYTICS
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
5356XMPNP DIAZEPAMP
diazepam 5 mg tablet, 50 (PI, CMI)
1 50 3 $13.84 $15.15 $19.69
Available brands
APO-Diazepama
APX-Diazepama
Antenex 5a
NOUMED DIAZEPAMa
Valpam 5a
Valiuma
* Additional charge for this brand is $3.07B
1 50 3 $16.91 $15.15 $22.76
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  • Legend
  • PPalliative care items
  • BBrand premium applies
  • aBrand equivalent a
  • DPDentist
  • MPMedical Practitioner
  • NPNurse Practitioner