DEXTRAN-70 + HYPROMELLOSE
Source | General Schedule |
Body System | SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS |
|
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 |
---|---|---|---|---|---|---|---|
5520MOP | DEXTRAN-70 + HYPROMELLOSE dextran-70 0.1% + hypromellose 0.3% eye drops, 15 mL (PI, CMI) |
1 | 1 | 5 | $16.05 | $17.36 | $20.65 |
Available brands | |||||||
Poly-Tearsa | |||||||
Tears Naturalea * Additional charge for this brand is
$3.85B
|
1 | 1 | 5 | $19.90 | $17.36 | $24.50 |
DEXTRAN-70 + HYPROMELLOSE
Source | General Schedule |
Body System | SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS |
|
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 |
---|---|---|---|---|---|---|---|
5521NOP | DEXTRAN-70 + HYPROMELLOSE dextran-70 0.1% + hypromellose 0.3% eye drops, 28 x 0.4 mL unit doses (PI, CMI) |
3 | 3 | 5 | $29.21 | $30.00 | $30.00 |
Available brands | |||||||
Bion Tears |
- Legend
- BBrand premium applies
- aBrand equivalent a
- OPOptometrist