Source	Repatriation Pharmaceutical Benefits
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > MACROLIDES, LINCOSAMIDES AND STREPTOGRAMINS

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
4115NMP	AZITHROMYCINR azithromycin 500 mg tablet, 3 (PI, CMI)
	Available brands
	APO-Azithromycina	1	3	0	$35.61	$7.70	$7.70
	Azithromycin Mylana	1	3	0	$35.61	$7.70	$7.70
	Azithromycin Sandoza	1	3	0	$35.61	$7.70	$7.70
	Azithromycin Viatrisa	1	3	0	$35.61	$7.70	$7.70
	Azithromycin-WGRa	1	3	0	$35.61	$7.70	$7.70
	Zedd 500	1	3	0	$35.61	$7.70	$7.70
	ZITHROa	1	3	0	$35.61	$7.70	$7.70
	Zithromaxa	1	3	0	$35.61	$7.70	$7.70

Source	S100 HSD Public
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > MACROLIDES, LINCOSAMIDES AND STREPTOGRAMINS

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
5616NMPNP	AZITHROMYCIN azithromycin 600 mg tablet, 8 (PI, CMI)	2	16	5	$110.76	$31.60	$31.60
	Available brands
	Zithromax