Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS

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
13957NMPNP	OXYBUTYNIN oxybutynin hydrochloride 5 mg tablet, 100 (PI, CMI)	2	200	5	$31.48	$31.60	$31.60
	Available brands
	Ditropan

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS

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
8039DMPNP	OXYBUTYNIN oxybutynin hydrochloride 5 mg tablet, 100 (PI, CMI)	1	100	5	$22.63	$24.11	$27.56
	Available brands
	Ditropan