Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
8007KMPNP	PANTOPRAZOLE pantoprazole 40 mg enteric tablet, 30 (PI, CMI)	1	30	1	$16.88	$18.36	$21.81
	Available brands
	APO-Pantoprazolea
	APX-PANTOPRAZOLEa
	BTC Pantoprazolea
	I-Pantoprazolea
	NOUMED PANTOPRAZOLEa
	Ozpana
	PANTOPRAZOLE-WGRa
	Panthrona
	Pantoprazole Sandoza
	Pantoprazole generichealtha
	Salpraza
	Sozola
	Somaca * Additional charge for this brand is $4.95B	1	30	1	$21.83	$18.36	$26.76

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
8399CMPNP	PANTOPRAZOLE pantoprazole 20 mg enteric tablet, 30 (PI, CMI)	1	30	5	$16.50	$17.98	$21.43
	Available brands
	APO-Pantoprazolea
	APX-PANTOPRAZOLEa
	BTC Pantoprazolea
	Ozpana
	PANTOPRAZOLE-WGRa
	Panthrona
	Pantoprazole APOTEXa
	Pantoprazole Sandoza
	Pantoprazole generichealtha
	Salpraza
	Sozola
	Somaca * Additional charge for this brand is $4.95B	1	30	5	$21.45	$17.98	$26.38

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
9423YMPNP	PANTOPRAZOLE pantoprazole 40 mg enteric coated granules, 30 sachets (PI, CMI)	1	30	1	$34.91	$31.60	$31.60
	Available brands
	Somac

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR ACID RELATED DISORDERS > DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)

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
9424BMPNP	PANTOPRAZOLE pantoprazole 40 mg enteric coated granules, 30 sachets (PI, CMI)	1	30	5	$34.91	$31.60	$31.60
	Available brands
	Somac