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
14415QMPNP	ESCITALOPRAM escitalopram 20 mg tablet, 28 (PI, CMI)	2	56	2	$19.22	$20.70	$24.15
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Cilopam-Sa
	ESCITALOPRAM-WGRa
	Escitalopram GHa
	Escitalopram Sandoza
	Lexam 20a
	LoxaLatea
	Lexaproa * Additional charge for this brand is $29.06B	2	56	2	$48.28	$20.70	$53.21

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
14416RMPNP	ESCITALOPRAM escitalopram 20 mg tablet, 28 (PI, CMI)	2	56	2	$19.22	$20.70	$24.15
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	ESCITALOPRAM-WGRa
	Escitalopram GHa
	Escitalopram Sandoza
	Lexam 20a
	LoxaLatea
	Lexaproa * Additional charge for this brand is $29.06B	2	56	2	$48.28	$20.70	$53.21

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	$16.50	$17.98	$21.43
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	Cilopam-Sa
	ESCITALOPRAM-WGRa
	Escitalopram GHa
	Escitalopram Sandoza
	Lexam 20a
	LoxaLatea
	Lexaproa * Additional charge for this brand is $14.53B	1	28	5	$31.03	$17.98	$35.96

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	$16.50	$17.98	$21.43
	Available brands
	APO-Escitaloprama
	APX-Escitaloprama
	Blooms Escitaloprama
	ESCITALOPRAM-WGRa
	Escitalopram GHa
	Escitalopram Sandoza
	Lexam 20a
	LoxaLatea
	Lexaproa * Additional charge for this brand is $14.53B	1	28	5	$31.03	$17.98	$35.96