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

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
2676WMPNP	PROTEIN HYDROLYSATE FORMULA WITH MEDIUM CHAIN TRIGLYCERIDES protein hydrolysate formula with medium chain triglycerides powder for oral liquid, 400 g (PI, CMI)	8	8	5	$136.37	$31.60	$31.60
	Available brands
	Alfaré

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

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
8259QMPNP	PROTEIN HYDROLYSATE FORMULA WITH MEDIUM CHAIN TRIGLYCERIDES protein hydrolysate formula with medium chain triglycerides powder for oral liquid, 450 g (PI, CMI)	8	8	5	$202.21	$31.60	$31.60
	Available brands
	Aptamil Gold+ Pepti-Junior