Online Pharmaceutical Schedule - June 2022


You are viewing June 2022. View May 2022 Schedule.

Treatments for Substance Dependence

Nicotine         

Patch 7 mg - Up to 28 patch available on a PSO

TICK Habitrol 2381389 $18.14 per 28

Patch 7 mg for direct distribution only [Xpharm]

TICK Habitrol 2179547 $3.94 per 7

Patch 14 mg - Up to 28 patch available on a PSO

TICK Habitrol 2381397 $19.95 per 28

Patch 14 mg for direct distribution only [Xpharm]

TICK Habitrol 2179555 $4.52 per 7

Patch 21 mg - Up to 28 patch available on a PSO

TICK Habitrol 2381400 $22.86 per 28

Patch 21 mg for direct distribution only [Xpharm]

TICK Habitrol 2179563 $5.18 per 7

Lozenge 1 mg - Up to 216 loz available on a PSO

TICK Habitrol 2381370 $19.18 per 216

Lozenge 1 mg for direct distribution only [Xpharm]

TICK Habitrol 2294370 $3.20 per 36

Lozenge 2 mg - Up to 216 loz available on a PSO

TICK Habitrol 2381362 $21.02 per 216

Lozenge 2 mg for direct distribution only [Xpharm]

TICK Habitrol 2294389 $3.24 per 36

Gum 2 mg (Fruit) - Up to 384 piece available on a PSO

TICK Habitrol 2381354 $38.21 per 384

Gum 2 mg (Fruit) for direct distribution only [Xpharm]

TICK Habitrol 2179504 $8.64 per 96

Gum 2 mg (Mint) - Up to 384 piece available on a PSO

TICK Habitrol 2381346 $38.21 per 384

Gum 2 mg (Mint) for direct distribution only [Xpharm]

TICK Habitrol 2179520 $8.64 per 96

Gum 4 mg (Fruit) - Up to 384 piece available on a PSO

TICK Habitrol 2381338 $44.17 per 384

Gum 4 mg (Fruit) for direct distribution only [Xpharm]

TICK Habitrol 2179512 $10.01 per 96

Gum 4 mg (Mint) - Up to 384 piece available on a PSO

TICK Habitrol 2381311 $44.17 per 384

Gum 4 mg (Mint) for direct distribution only [Xpharm]

TICK Habitrol 2179539 $10.01 per 96

Nicotine will not be funded in amounts less than 4 weeks of treatment.

Note: Direct Provision by a pharmacist permitted under the provisions in Part I of Section A.