Source	Palliative Care
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
5337XMPNP	CLONAZEPAMP clonazepam 500 microgram tablet, 100 (PI, CMI)	1	100	3	$20.23	$21.68	$25.13
	Available brands
	Paxam 0.5a

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
5338YMPNP	CLONAZEPAMP clonazepam 2 mg tablet, 100 (PI, CMI)	1	100	3	$22.95	$24.40	$27.85
	Available brands
	Paxam 2

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

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
5339BMPNP	CLONAZEPAMP clonazepam 2.5 mg/mL (0.1 mg/drop) oral liquid, 10 mL (PI, CMI)	2	2	3	$20.99	$22.44	$25.89
	Available brands
	Rivotril