METHADONE

METHADONE (14193B)

methadone hydrochloride 10 mg/mL injection, 5 x 1 mL vials
14193B
Body System:
Manner of administration:Injection
Palliative Care
Authority Required

Restriction

Indication: Severe disabling pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 24 Max qty units: 120 # of repeats: 0 DPMQ: $907.42 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Physeptone

METHADONE (14202L)

methadone hydrochloride 10 mg/mL injection, 5 x 1 mL vials
14202L
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15996)

Indication: Chronic severe disabling 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: 15994)

Indication: Chronic severe disabling 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: 16000)

Indication: Chronic severe disabling 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: 5 # of repeats: 0 DPMQ: $54.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Physeptone