Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

Caution

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
9151PMPNP	PRAMIPEXOLE pramipexole dihydrochloride monohydrate 125 microgram tablet, 30 (PI, CMI)	1	30	0	$17.24	$18.72	$22.17
	Available brands
	APO-Pramipexolea
	Simipex 0.125a
	Simprala
	Sifrola * Additional charge for this brand is $3.58B	1	30	0	$20.82	$18.72	$25.75

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTI-PARKINSON DRUGS > DOPAMINERGIC AGENTS

Caution

Note

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
9393JMPNP	PRAMIPEXOLE pramipexole dihydrochloride monohydrate 125 microgram tablet, 30 (PI, CMI)	1	30	2	$17.24	$18.72	$22.17
	Available brands
	APO-Pramipexolea
	Simipex 0.125a
	Simprala
	Sifrola * Additional charge for this brand is $3.58B	1	30	2	$20.82	$18.72	$25.75