Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTI-DEMENTIA DRUGS

Authority Required

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
11922LMP	DONEPEZIL donepezil hydrochloride 5 mg tablet, 28 (PI, CMI)	1	28	5	$22.08	$23.37	$27.79
	Available brands
	APO-Donepezila
	Arazila
	Aridon 5a
	Aridon APN 5a
	Donepezil ANa
	Donepezil GHa
	Donepezil Sandoza
	Donepezil-DRLAa
	Aricepta * Additional charge for this brand is $3.68B	1	28	5	$25.76	$23.37	$31.47

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTI-DEMENTIA DRUGS

Note

Authority Required (STREAMLINED)

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
2532GMPNP	DONEPEZIL donepezil hydrochloride 5 mg tablet, 28 (PI, CMI)	1	28	5	$22.08	$23.37	$27.79
	Available brands
	APO-Donepezila
	Arazila
	Aridon 5a
	Aridon APN 5a
	Donepezil ANa
	Donepezil GHa
	Donepezil Sandoza
	Donepezil-DRLAa
	Aricepta * Additional charge for this brand is $3.68B	1	28	5	$25.76	$23.37	$31.47

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTI-DEMENTIA DRUGS

Authority Required

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
8495DMP	DONEPEZIL donepezil hydrochloride 5 mg tablet, 28 (PI, CMI)	1	28	1	$22.08	$23.37	$27.79
	Available brands
	APO-Donepezila
	Arazila
	Aridon 5a
	Aridon APN 5a
	Donepezil ANa
	Donepezil GHa
	Donepezil Sandoza
	Donepezil-DRLAa
	Aricepta * Additional charge for this brand is $3.68B	1	28	1	$25.76	$23.37	$31.47