TRAMADOL

TRAMADOL (12008B)

tramadol hydrochloride 50 mg capsule, 20
12008B
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 0.5 Max qty units: 10 # of repeats: 0 DPMQ: $17.60 Max safety net: $19.14 General Patient Charge: $21.93
Available brands
APO-Tramadol
TRAMADOL-WGR
Tramadol Sandoz
Tramedo
Zydol
Tramal
*Additional charge for this brand is $1.39
 DPMQ: $18.99 Max safety net: $19.14 General Patient Charge: $23.32

TRAMADOL (12024W)

tramadol hydrochloride 50 mg capsule, 20
12024W
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 0.5 Max qty units: 10 # of repeats: 0 DPMQ: $17.60 Max safety net: $19.14 General Patient Charge: $21.93
Available brands
APO-Tramadol
TRAMADOL-WGR
Tramadol Sandoz
Tramedo
Zydol
Tramal
*Additional charge for this brand is $1.39
 DPMQ: $18.99 Max safety net: $19.14 General Patient Charge: $23.32

TRAMADOL (2527B)

tramadol hydrochloride 50 mg modified release tablet, 20
2527B
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 10755)

Indication: Chronic severe pain
Treatment phase: Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for less than 12 months

Restriction (Streamlined authority code: 10748)

Indication: Chronic severe pain
Treatment phase: Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for more than 12 months

Restriction (Streamlined authority code: 10752)

Indication: Chronic severe pain
Treatment phase: Continuing PBS treatment after 1 June 2020
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 20 # of repeats: 0 DPMQ: $18.03 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
Tramal SR 50

TRAMADOL (3484J)

tramadol hydrochloride 100 mg/2 mL injection, 5 x 2 mL ampoules
3484J
Body System:
Manner of administration:Injection
Prescriber Bag
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 5 # of repeats: 0 DPMQ: $17.75 Max safety net: $0.00 General Patient Charge: Nil
Available brands
Tramadol AN
Tramadol Sandoz
Tramal 100

TRAMADOL (5150C)

tramadol hydrochloride 100 mg/mL oral liquid, 10 mL
5150C
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $20.51 Max safety net: $22.05 General Patient Charge: $24.84
Available brands
Tramal

TRAMADOL (5231H)

tramadol hydrochloride 100 mg/2 mL injection, 5 x 2 mL ampoules
5231H
Body System:
Manner of administration:Injection
General Schedule
Restricted Benefit

Restriction

Indication: Severe pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 5 # of repeats: 0 DPMQ: $17.75 Max safety net: $19.29 General Patient Charge: $22.08
Available brands
Tramadol AN
Tramadol Sandoz
Tramal 100

TRAMADOL (5232J)

tramadol hydrochloride 50 mg capsule, 20
5232J
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 20 # of repeats: 0 DPMQ: $17.10 Max safety net: $18.64 General Patient Charge: $21.43
Available brands
APO-Tramadol
TRAMADOL-WGR
Tramadol Sandoz
Tramedo
Zydol
Tramal
*Additional charge for this brand is $2.25
 DPMQ: $19.35 Max safety net: $18.64 General Patient Charge: $23.68

TRAMADOL (8455B)

tramadol hydrochloride 50 mg capsule, 20
8455B
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe pain
Treatment phase: Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for less than 12 months

Restriction

Indication: Severe pain
Treatment phase: Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for more than 12 months

Restriction

Indication: Severe pain
Treatment phase: Continuing PBS treatment after 1 June 2020
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 20 # of repeats: 0 DPMQ: $17.10 Max safety net: $18.64 General Patient Charge: $21.43
Available brands
APO-Tramadol
TRAMADOL-WGR
Tramadol Sandoz
Tramedo
Zydol
Tramal
*Additional charge for this brand is $2.25
 DPMQ: $19.35 Max safety net: $18.64 General Patient Charge: $23.68

TRAMADOL (8523N)

tramadol hydrochloride 100 mg modified release tablet, 20
8523N
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 10755)

Indication: Chronic severe pain
Treatment phase: Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for less than 12 months

Restriction (Streamlined authority code: 10748)

Indication: Chronic severe pain
Treatment phase: Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for more than 12 months

Restriction (Streamlined authority code: 10752)

Indication: Chronic severe pain
Treatment phase: Continuing PBS treatment after 1 June 2020
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 20 # of repeats: 0 DPMQ: $17.34 Max safety net: $18.88 General Patient Charge: $21.67
Available brands
APO-Tramadol SR
TRAMADOL-WGR SR
Tramadol SR generichealth
Tramadol Sandoz SR
Tramedo SR
Zydol SR 100
Tramal SR 100
*Additional charge for this brand is $4.24
 DPMQ: $21.58 Max safety net: $18.88 General Patient Charge: $25.91

TRAMADOL (8524P)

tramadol hydrochloride 150 mg modified release tablet, 20
8524P
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 10755)

Indication: Chronic severe pain
Treatment phase: Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for less than 12 months

Restriction (Streamlined authority code: 10748)

Indication: Chronic severe pain
Treatment phase: Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for more than 12 months

Restriction (Streamlined authority code: 10752)

Indication: Chronic severe pain
Treatment phase: Continuing PBS treatment after 1 June 2020
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 20 # of repeats: 0 DPMQ: $18.10 Max safety net: $19.64 General Patient Charge: $22.43
Available brands
APO-Tramadol SR
TRAMADOL-WGR SR
Tramadol SR generichealth
Tramadol Sandoz SR
Tramedo SR
Zydol SR 150
Tramal SR 150
*Additional charge for this brand is $5.13
 DPMQ: $23.23 Max safety net: $19.64 General Patient Charge: $27.56