POLYVINYL ALCOHOL
| 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 |
|---|---|---|---|---|---|---|---|
| 5526WOP | POLYVINYL ALCOHOL polyvinyl alcohol 1.4% eye drops, 15 mL (PI, CMI) |
1 | 1 | 5 | $15.55 | $16.84 | $21.26 |
| Available brands | |||||||
| PVA Tearsa | |||||||
| Liquifilm Tearsa * Additional charge for this brand is
$1.29B
|
1 | 1 | 5 | $16.84 | $16.84 | $22.55 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- OPOptometrist
