Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
8700XMPNP	ESCITALOPRAM escitalopram 10 mg tablet, 28 (PI, CMI)	1	28	5	$15.90	$17.30	$20.75
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Blooms the Chemist Escitaloprama
	Cilopam-Sa
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 10a
	LoxaLatea
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $13.98B	1	28	5	$29.88	$17.30	$34.73

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
8701YMPNP	ESCITALOPRAM escitalopram 20 mg tablet, 28 (PI, CMI)	1	28	5	$15.90	$17.30	$20.75
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Blooms the Chemist Escitaloprama
	Cilopam-Sa
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 20a
	LoxaLatea
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $14.33B	1	28	5	$30.23	$17.30	$35.08

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
9432KMPNP	ESCITALOPRAM escitalopram 10 mg tablet, 28 (PI, CMI)	1	28	5	$15.90	$17.30	$20.75
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 10a
	LoxaLatea
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $13.98B	1	28	5	$29.88	$17.30	$34.73

Source	General Schedule
Body System	NERVOUS SYSTEM > PSYCHOANALEPTICS > ANTIDEPRESSANTS

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
9433LMPNP	ESCITALOPRAM escitalopram 20 mg tablet, 28 (PI, CMI)	1	28	5	$15.90	$17.30	$20.75
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Escitalopram GHa
	Escitalopram Sandoza
	Esiprama
	Lexam 20a
	NOUMED ESCITALOPRAMa
	Lexaproa * Additional charge for this brand is $14.33B	1	28	5	$30.23	$17.30	$35.08