Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

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
3016RMPNP	AMANTADINE amantadine hydrochloride 100 mg capsule, 100 (PI, CMI)	1	100	5	$34.09	$31.60	$31.60
	Available brands
	AMANTAMEDa
	Symmetrel 100a