Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
5190EDP	OXYCODONE oxycodone hydrochloride 1 mg/mL oral liquid, 250 mL (PI, CMI)	1	250	0	$32.07	$31.60	$31.60
	Available brands
	OxyNorm Liquid 1mg/mL

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
5191FDP	OXYCODONE oxycodone hydrochloride 5 mg capsule, 20 (PI, CMI)	1	20	0	$24.24	$25.69	$29.14
	Available brands
	OxyNorma
	Oxycodone BNMa

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
5197MDP	OXYCODONE oxycodone hydrochloride 10 mg capsule, 20 (PI, CMI)	1	20	0	$23.52	$24.97	$28.42
	Available brands
	OxyNorma
	Oxycodone BNMa

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8464LMPNP	OXYCODONE oxycodone hydrochloride 5 mg capsule, 20 (PI, CMI)	1	20	0	$24.24	$25.69	$29.14
	Available brands
	OxyNorma
	Oxycodone BNMa

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8501KMPNP	OXYCODONE oxycodone hydrochloride 10 mg capsule, 20 (PI, CMI)	1	20	0	$23.52	$24.97	$28.42
	Available brands
	OxyNorma
	Oxycodone BNMa

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8502LMPNP	OXYCODONE oxycodone hydrochloride 20 mg capsule, 20 (PI, CMI)	1	20	0	$26.87	$28.32	$31.60
	Available brands
	OxyNorma
	Oxycodone BNMa

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

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
8644YMPNP	OXYCODONE oxycodone hydrochloride 1 mg/mL oral liquid, 250 mL (PI, CMI)	1	250	0	$32.07	$31.60	$31.60
	Available brands
	OxyNorm Liquid 1mg/mL