explanation of pbs pricing april2012

							\tbllkhdrcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$2}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 5.01}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
(sum of # - $35.40)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 4.61}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
(sum of # - $5.80) \cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow6\irowband6\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 60.41}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
(sum of #)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4480\clshdrawnil
\cellx4266\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4148\clshdrawnil \cellx8414\row
}\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid14106094 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 # Components that make up the dispensed
price.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Section 100 HSD
Public Hospital}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid15542370 {\rtlch\fcs1 \ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Clozapine, tablet 25mg x 100 (Item 5628F)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx112\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost \cell
}\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$4}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 9.99}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
#\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx112\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up (not applicable)\cell }\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$0.00#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx112\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee (not applicable)\cell }\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$0.00# \cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx112\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell
}\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$4}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 9.99}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid14106094 {\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611 # Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 As the total is
greater than $35.40, the PBS Safety Net fee and the allowable extra fee
don\rquote t apply.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$1}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 4.59}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
(sum of # - 35.40)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 44.19}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
(sum of # - $5.80) \cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow7\irowband7\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 49.99}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
(sum of #)\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow11\irowband11\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid14106094 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 # Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Example 13\emdash Efficient Funding of Chemotherapy Drugs}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 The Efficient Fundi
ng of Chemotherapy Drugs aims to reimburse pharmacies for the supply of
an infusion based on the cheapest combination of vials. An algorithm has
been built into pharmacy dispensing software and the Human Services
processing system to work out the cheapest
 combination. The algorithm calculates the price of each individual vial
(base price plus mark-up) so the prices can be used to determine the
cheapest combination for the quantity/dose prescribed.}{\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 In this example for
Item 4531L, only the 100mg vial size is available therefore the only
combination would be 6 x 100mg vials for a quantity of
580mg.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Supplied in a
public hospital (section 94)}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
NAB Paclitaxel injection x 580mg (Item 4531L)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Number of whole 100mg vials for maximum amount of 580mg = 6 \cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost of 100mg vial (ex-manufacturer) \cell $401.48\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost of six 100mg vials (6 x $401.48)\cell $2408.88#\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee (not applicable)
\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Preparation fee\cell $40.00#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $2448.88 (sum of #)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow6\irowband6\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid9187106 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 # Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 As the total is
greater than $35.40, the PBS Safety Net fee and the allowable extra fee
don\rquote t apply. A patient contribution will apply only to the
original prescription and not to repeats.}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$2413.48 (sum of # - 35.40)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$2443.08 (sum of # - $5.80) \cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$2448.88 (sum of #)
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid14106094 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 # Components that make up the dispensed
price.}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611
\par Multiple vial sizes }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 If more than one
vial size is available then the algorithm works out the cheapest
combination of vial sizes for the quantity/dose prescribed. }{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491

\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 In this example for
Item 7263G, the cheapest combination for the amount of 70mg is 2 x 10mg
vials and 1 x 50mg vial. The example shows that different mark-ups may be
applicable for different vial sizes.}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid3085791 {\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid12918666 \page }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611
Supplied in a community pharmacy (}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid13640284 S}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611
ection 90)}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Vinorelbine injection x 70mg (Item 7263G)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Find the mark-up applicable for the 10mg vial and the 50mg vial \cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Number of whole 10mg vials for maximum amount of 70mg = 7 \cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost of 10mg vial (ex-manufacturer) \cell
$22.38\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up (1}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0 \fs20\lang3081\langfe3081\langfenp3081\insrsid6192611
0}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370 %)
\cell $}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 2.24}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost of one 10mg vial + mark-up \cell $2}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0 \fs20\lang3081\langfe3081\langfenp3081\insrsid6192611
4.62}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost + mark-up of two 10mg vials ($}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 24.62}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370 x
2)\cell $4}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 9.24}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
#\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Number of whole 50mg vials for maximum amount of 70mg = 2 \cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow7\irowband7\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost of 50mg vial (ex-manufacturer) \cell
$93.38\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up (}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0 \fs20\lang3081\langfe3081\langfenp3081\insrsid6192611
$18}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 apportioned per
50mg vial ($18 }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 {\field{\*\fldinst
SYMBOL 184 \\f "Symbol" \\s 10}{\fldrslt\f3\fs20}}}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 2)}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell $9.}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 00}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost of one 50mg vial + mark-up \cell $102.}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0 \fs20\lang3081\langfe3081\langfenp3081\insrsid6192611
38}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Flat wholesale fee\cell $24.00#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee (ready prepared)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$6.42#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow12\irowband12\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Preparation fee\cell
$40.00#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow13\irowband13\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Diluent fee\cell
$4.75#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow14\irowband14\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 226.79}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
(sum of #)\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow15\irowband15\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid3085791 {\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611 # Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 As the total is
greater than $35.40, the PBS Safety Net fee and the allowable extra fee
don\rquote t apply.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid13640284
}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
A patient contribution will apply only to the original prescription and
not to repeats.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$1}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 91.39}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
(sum of # - 35.40)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 220.99}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
(sum of # - $5.80) \cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow6\irowband6\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 226.79}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
(sum of #)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnu
m\faauto\adjustright\rin0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid3085791 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 # Components that make up the dispensed
price.
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid12918666 \page }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611
Example 14\emdash }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid13640284 b}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 roken pack}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2938\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5762\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {
\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 Clonazepam
}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Tablet 500mcg x 150\cell Rivotril}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst SYMBOL
210 \\f "Symbol" \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
(Item 1805B)\cell
Generic clonazepam\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2938\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5762\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-45\widctlpar\intbl
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Cost of 100 tablets (including 15% mark-up)\cell $8.25#\cell
$6.54#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2938\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5762\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-45\widctlpar\intbl
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Cost of 50 tablets ($8.25 x 62%)\cell $5.12#\cell $4.05#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2938\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5762\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Dispensing fee\cell
$6.42#\cell $6.42#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2938\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5762\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-45\widctlpar\intbl
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
PBS Safety Net recording fee\cell $1.09\cell $1.09\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2938\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5762\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Allowable extra fee
\cell $4.04\cell $4.04\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2938\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5762\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-45\widctlpar\intbl
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Total\cell $24.92 (includes brand price premium\cell $22.14\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2938\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5762\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row }\pard
\ltrpar\ql \li0\ri-46\sl250\slmult1\widctlpar
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
46\lin0\itap0\pararsid1976055 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql \li0\ri-
45\sa200\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\itap0\pararsid1976055 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid12144291 The brand price premium
 is calculated by subtracting the sum of # for the generic clonazepam
($17.01) from the sum of # for the more expensive Rivotril}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst SYMBOL 210 \\f
"Symbol" \\s 11}{\fldrslt\f3\fs22}}}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 ($19.79).
The brand price premium is $19.79 - $17.01 = $2.78. This compares with
the brand premium price of $3.42 for 200 x Rivotril}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 500mcg tablet}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 .}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
This technique is used to calculate all brand price premiums and
therapeutic group premiums.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid12144291 Price calculations for
Rivotril}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
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\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
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-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Patient contribution\cell $24.92
\cell }\pard \ltrpar\ql
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\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
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\ql \li0\ri-
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-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Australian Government contribution
\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
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ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
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\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
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\ql \li0\ri-
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-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Amount recordable on PBS Safety Net PRF\cell $18.10 (sum of # for
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{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041 +
PBS Safety Net recording fee - brand price premium) or (sum of # for the
generic + PBS Safety Net recording fee)\cell }\pard \ltrpar
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\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
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\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
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214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
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\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
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\cellx8414\pard \ltrpar\ql \li0\ri-
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\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar
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\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
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\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
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106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
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\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
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\cellx8414\pard \ltrpar\ql \li0\ri-
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Patient contribution\cell $8.58 ($5.80 + brand price premium)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Australian Government contribution
\cell $11.21 (sum of # for Rivotril}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 {\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
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}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041 -
$5.80 - brand price premium) or (sum of # for the generic - $5.80)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow6\irowband6\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
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\trowd \irow7\irowband7\ltrrow
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\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
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214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
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\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
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\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
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\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Patient contribution\cell $2.78 (brand price premium)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
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-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Australian Government contribution
\cell $17.01 (sum of # for Rivotril}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 {\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041 -
brand price premium) or (sum of # for the generic )\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
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-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Amount recordable of the PBS Safety Net PRF\cell $0.00\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid1976055 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid12144291 #Components that make up the
dispensed price}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 .}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291
In this example, there is no container fee as the quantity supplied (150)
is greater than the manufacturer\rquote s pack size, as shown in Section
3 of the Schedule.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid12918666
\page }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Example 15\emdash }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid13640284 i}{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611 njectable with solvent
required}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Timentin}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
, powder for Injection 3mg-100mg (solvent required) x 10 (Item 2179Q)
\par Sodium Chloride injection 9mg per mL (0.9%), 10mL x 10 (Item 2026P)
\par Code for injectable item when combined with approved solvent (Item
6884H)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1809\clshdrawnil
\cellx1500\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2552\clshdrawnil
\cellx3885\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil
\cellx6233\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2330\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
INJECTABLE \line Item 2179Q
\par }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Ticarcillin with Clavulanic Acid powder for injection \line 3mg\endash
100mg x 10\cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
SOLVENT
\par Item 2026P}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\line Sodium Chloride injection 9mg per mL (0.9%)\line 10mL x 10\cell
}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
INJECTABLE & SOLVENT}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\par }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Item 6884H}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\line
Item 2179Q approved with Item 2026P
\par }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth1809\clshdrawnil
\cellx1500\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2552\clshdrawnil
\cellx3885\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil
\cellx6233\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2330\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Cost of pack + mark-up\cell Pack of one (10)($142.64 + 10% mark-up
$14.26)
\par }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
S156.90\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
 Pack of one (5)($1.48 + 15% mark-up $0.22)
\par }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$1.70\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Solvent item 2026P

\par Pack of 1 (5) x 2 \line }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$3.40}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 #}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth1809\clshdrawnil
\cellx1500\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2552\clshdrawnil
\cellx3885\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil
\cellx6233\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2330\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Cost of pack + mark-up x packs\cell Pack of one (10) + mark-up ($142.64
+ $14.26)
\par }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$156.90\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Pack of one (5) +
mark-up x 2 ($1.70 x 2)
\par }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$3.40\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Injectable item 2179Q
\par Pack of one (10) }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$156.90}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 #}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth1809\clshdrawnil
\cellx1500\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2552\clshdrawnil
\cellx3885\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil
\cellx6233\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2330\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Sub Total\cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid9242197
$156.90#}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid16137346
\cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid9242197
$3.40#}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid16137346
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
($3.40 + $156.90) }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$160.30}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1809\clshdrawnil
\cellx1500\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2552\clshdrawnil
\cellx3885\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil
\cellx6233\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2330\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-45\widctlpar\intbl
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Dispensing fee
\par (ready prepared)\cell \cell \cell }{\rtlch\fcs1 \ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$6.42#\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1809\clshdrawnil
\cellx1500\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2552\clshdrawnil
\cellx3885\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil
\cellx6233\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2330\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-45\widctlpar\intbl
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Total\cell \cell \cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$166.72 }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
(sum of #)\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth1809\clshdrawnil
\cellx1500\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2552\clshdrawnil
\cellx3885\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil
\cellx6233\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2330\clshdrawnil
\cellx8414\row }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0
\pararsid7292972 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 # Components that make up the dispensed
price}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 .}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid12473016 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid12144291
As the total is greater than $35.40, the PBS Safety Net fee and the
allowable extra fee don\rquote t apply.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid12144291 Combined solvent injectable (Item
6884H)}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Patient contribution\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$35.40\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Australian Government contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$131.32 (sum of # - 35.40)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Australian Government contribution
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$160.92 (sum of # - $5.80) \cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Australian Government contribution
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$166.72(sum of #)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow11\irowband11\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4246\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 # Components that make up the dispensed
price}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 .}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid14106094 {\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid12918666 \page }{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0
\b\fs24\insrsid6192611 Example 16\emdash }{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid13640284 s}{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611 tandard formulae}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 You
have a prescription for Salicylic Acid and Sulphur Aqueous cream with
five percent Salicylic Acid (standard formula is two per cent). Should
the }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 prescription}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 be coded:}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \ab\af37\afs22
\ltrch\fcs0
\f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611\charrsid12144291
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar\s20\ql \fi-
360\li720\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls25
\pnrauth1\pnrdate-
2029770164\pnrstart0\pnrxst1\pnrxst0\pnrxst183\pnrxst240\pnrstop4\pnrstar
t1\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb
0\pnrstop9\pnrstart2\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrn
fc0
\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\
pnrnfc0\pnrnfc0\pnrstop18\pnrstart3\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pn
rpnbr0\pnrpnbr0\pnrpnbr0
\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\
pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrstop36\adjustright\rin0\li
n720\itap0\pararsid3962828
\rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\ab\af37 \ltrch\fcs0 \b\insrsid6192611\charrsid12144291 13Q}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
 and the average price accepted \line or}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \ab\af37\afs22
\ltrch\fcs0
\f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611\charrsid12144291
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid12144291
7502W}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 as
this is the standard formula with an increased amount of one
ingredient?}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth7196\clshdrawnil
\cellx6476\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2046\clshdrawnil \cellx8414\pard\plain
\ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 \rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
13Q cream recovery price (including container)\cell $12.}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 40}{\rtlch\fcs1
\af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth7196\clshdrawnil
\cellx6476\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2046\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
7502W Salicylic Acid and Sulphur Aqueous cream recovery price (including
container)\cell $12.8}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 0}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow1\irowband1\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth7196\clshdrawnil
\cellx6476\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2046\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid3962828 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid12144291 \line }{\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611\charrsid8804853 In this example, the }{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 prescription}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid8804853 should be coded 7502W as this will
receive the higher payment.}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 {\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611\charrsid12144291 Example }{\rtlch\fcs1
\ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611 17}{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611\charrsid12144291 \emdash
exceptional}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 ly priced prescriptions}{\rtlch\fcs1
\ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql \li0\ri-20\sl-
224\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
20\lin0\itap0\pararsid3962828 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 Prescription for:}{\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql \li0\ri0\sl-
150\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0
\lin0\itap0\pararsid3962828 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0
\f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611\charrsid12144291
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar\s20\ql \fi-
360\li720\ri-20\sb33\sl-226\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26
\pnrauth1\pnrdate-
2029770164\pnrstart0\pnrxst1\pnrxst0\pnrxst183\pnrxst240\pnrstop4\pnrstar
t1\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb
0\pnrstop9\pnrstart2\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrn
fc0
\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\
pnrnfc0\pnrnfc0\pnrstop18\pnrstart3\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pn
rpnbr0\pnrpnbr0\pnrpnbr0
\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\
pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrstop36\adjustright\rin-
20\lin720\itap0\pararsid3962828
\rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 Menthol
10g}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0
\f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611\charrsid12144291
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291
Eucalyptus oil 10mL, and}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0
\f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611\charrsid12144291
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291
Lavender spike oil 1mL \line in}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0
\f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611\charrsid12144291
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291
Sorbolene cream to 100g (Cetomacrogol aqueous).}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard\plain \ltrpar\ql \li0\ri0\sl-
150\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0
\lin0\itap0\pararsid3962828 \rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri315\sb36\sl250\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faaut
o\adjustright\rin315\lin0\itap0\pararsid3962828 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid12144291 This would normally be coded
as \lquote 13Q\rquote
 (cream). When working out the value of the ingredients it may be an
exceptionally priced }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
prescription}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291
 and can be claimed as one. The value of the ingredients for an average
cream would be:}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth7196\clshdrawnil
\cellx6487\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2046\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Price paid for 13Q\cell $12.}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 40}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7196\clshdrawnil
\cellx6487\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2046\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Less extemporaneously priced dispensing fee\cell $8.46\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid15352041 \trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth7196\clshdrawnil
\cellx6487\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2046\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Less container price\cell $1.95
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth7196\clshdrawnil
\cellx6487\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2046\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Average cost of ingredients\cell
$1.9}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 9}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow3\irowband3\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth7196\clshdrawnil
\cellx6487\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2046\clshdrawnil
\cellx8414\row }\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustr
ight\rin-45\lin0\itap0\pararsid13110339 {\rtlch\fcs1 \af37 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid12144291
Pricing out this }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\lang3081\langfe3081\langfenp3081\insrsid6192611
prescription}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth2\trwWidth5070\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108
\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllk
hdrrows\tbllkhdrcols\tblind-106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth3882\clshdrawnil
\cellx6495\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth1118\clshdrawnil \cellx8427
\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Menthol 10g (price as 10g)\cell $15.24\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth2\trwWidth5070\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108
\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllk
hdrrows\tbllkhdrcols\tblind-106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth3882\clshdrawnil
\cellx6495\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth1118\clshdrawnil \cellx8427
\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Eucalyptus oil 10ml (S.G.0.916 = 9.16g)\cell $1.03\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth2\trwWidth5070\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108
\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllk
hdrrows\tbllkhdrcols\tblind-106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth3882\clshdrawnil
\cellx6495\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth1118\clshdrawnil \cellx8427
\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Lavender spike oil 1ml (S.G.0.905 = 0.90g)\cell $0.71\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth2\trwWidth5070\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108
\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllk
hdrrows\tbllkhdrcols\tblind-106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth3882\clshdrawnil
\cellx6495\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth1118\clshdrawnil \cellx8427
\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Sorbolene cream (100g - 6g - 9.16 - 0.90g)\cell $2.08\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth2\trwWidth5070\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108
\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllk
hdrrows\tbllkhdrcols\tblind-106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth3882\clshdrawnil
\cellx6495\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth1118\clshdrawnil \cellx8427
\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Total
\cell $19.06#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow4\irowband4\lastrow \ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth2\trwWidth5070\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108
\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllk
hdrrows\tbllkhdrcols\tblind-106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth3882\clshdrawnil
\cellx6495\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth2\clwWidth1118\clshdrawnil \cellx8427
\row }\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustr
ight\rin-45\lin0\itap0\pararsid13110339 {\rtlch\fcs1 \af37 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllkhdrrows\tbllk
hdrcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth6692\clshdrawnil
\cellx6478\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth1936\clshdrawnil \cellx8414
\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Container price\cell
$1.95#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllkhdrrows\tbllk
hdrcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth6692\clshdrawnil
\cellx6478\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth1936\clshdrawnil \cellx8414
\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Extemporaneously prepared dispensing fee\cell $8.46#\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllkhdrrows\tbllk
hdrcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth6692\clshdrawnil
\cellx6478\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth1936\clshdrawnil \cellx8414
\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
PBS Safety Net recording fee\cell $1.44 (general patient only)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllkhdrrows\tbllk
hdrcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth6692\clshdrawnil
\cellx6478\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth1936\clshdrawnil \cellx8414
\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Allowable extra fee\cell $4.04 (general patient only)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllkhdrrows\tbllk
hdrcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth6692\clshdrawnil
\cellx6478\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth1936\clshdrawnil \cellx8414
\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Total
\cell $34.95\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow4\irowband4\lastrow \ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13640284\tbllkhdrrows\tbllk
hdrcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth6692\clshdrawnil
\cellx6478\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth1936\clshdrawnil \cellx8414
\row }\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustr
ight\rin-45\lin0\itap0\pararsid13110339 {\rtlch\fcs1 \af37 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid12144291
In this case, the ingredients cost $19.06, more than double the average
cost of $1.9}{\rtlch\fcs1 \af37 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611 9}{\rtlch\fcs1 \af37
\ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid12144291 \emdash
the }{\rtlch\fcs1 \af37 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611
prescription}{\rtlch\fcs1 \af37 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid12144291 should
be manually priced as an exceptional }{\rtlch\fcs1 \af37 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611
prescription.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid7080491
\par
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4259\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Patient contribution\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$34.95\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4259\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Australian Government contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid15352041 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4259\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$30.91 ($34.95 \endash allowable extra fee)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid15352041 \trowd \irow3\irowband3\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4259\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 As with ready prepared }{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 medicines}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 , if the
total value of the }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
medicine}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
\emdash
including that additional PBS Safety Net fee and additional allowance
fee\emdash is greater than $35.40 then one or both of these fees are
reduced or waived to lower the price to $35.40}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 .}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
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\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
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106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
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\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Australian Government contribution
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$23.67 (sum of # - $5.80) \cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Patient contribution\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15352041
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Australian Government contribution
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$29.47 (sum of #)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0\pararsid11288914 {\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15352041
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid15352041 \trowd \irow7\irowband7\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4269\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql \li0\ri-
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\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid12144291
#Components that make up the dispensed price.}{\rtlch\fcs1 \af37
\ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid7080491
\par
\par
\par }{\*\themedata
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0de02000000000000000000a0f7030060de02000105000000000000}}1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611
\par }\pard\plain \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af37\afs22\alang1025
\ltrch\fcs0 \f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033
{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid1185894 For a}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 n example of a therapeutic group premium }{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid1185894 see }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 Appendix A}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid1185894 \emdash }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 example 10.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid15236631
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 {\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611 Special patient contribution}{\rtlch\fcs1
\ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 The special patient
contribution is a compulsory charge.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 For some expensive
medicines, the Australian Government and the manufacturer can\rquote t
agree on an acceptable price, so the Australian Government makes a part
contribution to the manufacturer\rquote
s price. In these cases, the patient pays the normal contribution plus
the difference between the contribution and the actual cost of the
supplied medicine. This difference is the special patient
contribution.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Prescribers can
apply for an authority prescription from Human Services to get exemption
from the special patient contribution on clinical grounds. The phone
appro
val number issued by Human Services starts with \lquote SPX\rquote or a
stamp with \lquote SPX approved\rquote will be on the authority
prescription.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 The special patient
contribution amount doesn\rquote t count towards the patient\rquote s PBS
Safety Net threshold and cannot be entered on the PRF.}{\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Medicines that
attract a special patient contribution and those granted exemption from
the special patient contribution are priced the same way as therapeutic
group premium medicines and exemptions.}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 The special patient
contribution does not apply to RPBS prescriptions\emdash patients only
pay the normal contribution and DVA pays the rest.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491

\par }\pard\plain \ltrpar\s20\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid143078 \rtlch\fcs1
\af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 For more information see
Section 1 and Section 2 of the Explanatory Notes at }{\rtlch\fcs1
\ab\af37 \ltrch\fcs0 \b\insrsid6192611\charrsid5854012
pbs.gov.au}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard\plain \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 \rtlch\fcs1
\af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611 Authority
prescriptions}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 All authority
required medicines and requests for increases to the listed maximum
quantity and/or maximum repeats for PBS medicines need prior approval.
Authority required (STREAMLINED) medicines don\rquote
t need prior approval except if increases in the listed maximum quantity
and/or maximum repeats are needed.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 When the quantity of
a medicine is more than the PBS maximum quantity, the relevant mark-up
applies to the increased quantity. However, only one of each of the
following fees may be applied if applicable:}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar\s20\ql \fi-
360\li720\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls21
\pnrauth1\pnrdate-
2029770164\pnrstart0\pnrxst1\pnrxst0\pnrxst183\pnrxst240\pnrstop4\pnrstar
t1\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb
0\pnrstop9\pnrstart2\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrn
fc0
\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\
pnrnfc0\pnrnfc0\pnrstop18\pnrstart3\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pn
rpnbr0\pnrpnbr0\pnrpnbr0
\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\
pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrstop36\adjustright\rin0\li
n720\itap0\pararsid8420321
\rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 dispensing fee}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 dangerous drug fee}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 PBS Safety Net recording fee, and}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 allowable extra fee.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard\plain \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 \rtlch\fcs1
\af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Only one entry is made on
the PBS Safety Net PRF. General patients pay a maximum of $35.40 and
concession patients pay $5.80, plus brand price premium, thera
peutic group premium and special patient contribution charges if
applicable. Multiple quantities attract multiple brand price premium and
therapeutic group premium charges.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 For more information
see Section 1 of the Explanatory Notes at }{\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611\charrsid5854012 pbs.gov.au}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1185894 For e}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 xamples of authority prescriptions
}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1185894 see}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 Appendix A}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1185894 \emdash }{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 examples 1, 3 and 6.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Regulation 24}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Regulation 24
applies when a prescriber, under certain
 conditions, asks for all repeats to be supplied at the same time as the
original prescription. Since the total prescription is supplied as a
single medicine, only one of each of the following fees can be applied if
applicable:}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar\s20\ql \fi-
360\li720\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls22
\pnrauth1\pnrdate-
2029770164\pnrstart0\pnrxst1\pnrxst0\pnrxst183\pnrxst240\pnrstop4\pnrstar
t1\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb
0\pnrstop9\pnrstart2\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrn
fc0
\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\
pnrnfc0\pnrnfc0\pnrstop18\pnrstart3\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pn
rpnbr0\pnrpnbr0\pnrpnbr0
\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\
pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrstop36\adjustright\rin0\li
n720\itap0\pararsid8420321
\rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 dispensing fee}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 dangerous drug fee}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 PBS Safety Net recording fee, and}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 allowable extra fee.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard\plain \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 \rtlch\fcs1
\af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Although there is only one
set of fees applicable, it isn\rquote t much cheaper for the patient.
They must pay multiple patient contributions\emdash up to $35.40 or $5.80
for each supply. Mult
iple quantities attract multiple brand price premium, therapeutic group
premium and special patient contribution charges. The amount recorded on
the PBS Safety Net PRF should reflect the total quantity supplied,
including the original and repeats.}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Unlike ready
prepared medicines, the extemporaneous plus water dispensing fee is
applicable for each maximum quantity supplied.
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1185894 For e}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 xamples of Regulation 24 prescriptions
}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1185894 see}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 Appendix A}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1185894 \emdash }{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 examples 1 and 3.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611 PBS
and RPBS differences}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Differences between
the PBS and RPBS include:}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar\s20\ql \fi-
360\li720\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls23
\pnrauth1\pnrdate-
2029770164\pnrstart0\pnrxst1\pnrxst0\pnrxst183\pnrxst240\pnrstop4\pnrstar
t1\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb
0\pnrstop9\pnrstart2\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrn
fc0
\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\
pnrnfc0\pnrnfc0\pnrstop18\pnrstart3\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pn
rpnbr0\pnrpnbr0\pnrpnbr0
\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\
pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrstop36\adjustright\rin0\li
n720\itap0\pararsid8420321
\rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 the RPBS has extra medicines not listed
on the PBS, and}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 holders of the following cards don\rquote
t pay the special patient contribution:}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f2\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ltrpar\s20\ql \fi-
360\li1440\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls23\ilvl1
\pnrauth1\pnrdate-
2029770164\pnrstart0\pnrxst1\pnrxst0\pnrxst111\pnrxst0\pnrstop4\pnrstart1
\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\pnrrgb0\
pnrstop9\pnrstart2\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc
0\pnrnfc0
\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\pnrnfc0\
pnrnfc0\pnrstop18\pnrstart3\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\
pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0
\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\
pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\p
nrpnbr0\pnrpnbr0\pnrpnbr0\pnrpnbr0\pnrstop36\adjustright\rin0\lin1440\ita
p0\pararsid8420321 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 Repatriation Pharmaceutical Benefits
card (orange card)}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f2\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\hich\af2\dbch\af0\loch\f2 o\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611
Repatriation health card for all conditions (gold card), and}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0 \f2\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611
\hich\af2\dbch\af0\loch\f2 o\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611
Repatriation health card for specific conditions with prescriptions
marked as RPBS (white card).}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard\plain \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 \rtlch\fcs1
\af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 RPBS prior approval
arrangements can provide access to some medicine not listed in either the
PB
S or RPBS Schedules. The price of the medicine is the cost to the
pharmacist plus the appropriate mark-up and the PBS dispensing fee. Where
the price to pharmacist is greater than $100.00, a copy of the invoice
must be submitted with the prescription for
payment (including repeat prescriptions).}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 For more information
see the RPBS Explanatory Notes at }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid5854012 pbs.gov.au}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Emergency drug supplies}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 The Australian
Government contribution for emergency drug supplies is the same as ready
prepared prescriptions. }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Emergency drugs are
supplied at no charge to the prescriber. Pharmacists are reimbursed the
full PBS amount.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\delrsid7749356\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid7749356 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 There is no charge if the prescriber re
quests a more expensive medicine or brand. Pharmacists are paid for the
medicine or brand supplied. Dangerous drug fees are added if
applicable.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 In some states and territories a prescriber
can\rquote
t write a dangerous drug on a prescription with any other medicine. This
doesn\rquote t apply to the }{\rtlch\fcs1 \ai\af37 \ltrch\fcs0
\i\insrsid6192611\charrsid12144291 Emergency }{\rtlch\fcs1 \ai\af37
\ltrch\fcs0 \i\insrsid6192611 Treatment Supplies}{
\rtlch\fcs1 \ai\af37 \ltrch\fcs0 \i\insrsid6192611\charrsid12144291
}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid13462891 Order
}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Form.}{\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard\plain \ltrpar\s20\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid7749356 \rtlch\fcs1
\af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 For more information see
Section 1 of the Explanatory Notes at }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid5854012 pbs.gov.au}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491

\par }\pard\plain \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid463746 \rtlch\fcs1
\af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \ab\af37\afs28 \ltrch\fcs0 \b\fs28\insrsid12918666 \page
}{\rtlch\fcs1 \ab\af37\afs28 \ltrch\fcs0 \b\fs28\insrsid6192611
Extemporaneous pricing}{\rtlch\fcs1 \ab\af37\afs28 \ltrch\fcs0
\b\fs28\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Extemporaneously prepared formulae}{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 An
extemporaneously prepared formula is a PBS medicine compounded by a
pharmacist from basic ingredients. All the allowable ingredient prices
are listed in Section 4 of the Schedule\emdash
Drug tariff. If a formula has an ingredient not listed, that formula is
not a PBS medicine. Some ingredients have specific uses or additional
directions (for example, \lquote use as additive only\rquote
). If these are not followed, the formula is not a PBS
medicine.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Standard formulae}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
Section 4 of the Schedule lists common formulae, their codes, prices and
the}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 ir}{\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611\charrsid12144291 references. Container rates are
included in these prices and are also listed in Section 4\emdash
Container prices. Container rates are the same for every state and
territory.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
Normally, if a standard formula is altered in any way, the code reverts
to the three character code given in Section 4 of the Schedule\emdash
Table of Codes, Maximum Quantities and Number of Repeats for
Extemporaneously Prepared Pharmaceutical Benefits. If
 a single ingredient is added, or one of the standard ingredients is
increased, reverting to the three character code may reduce the recovery
price. In this case, the code can be left as is and be paid the same as
the standard formula.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid13640284 For a}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 n example of standard formulae pricing
}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid13640284 see }{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 Appendix A}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid13640284 \emdash }{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 example
15}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 .}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Pricing extemporaneously prepared ingredients}{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 All
the allowable ingredient prices are listed in Section 4 of the
Schedule\emdash Drug tariff, with pric
es given for different quantities. The way to price exact quantities is
explained in Section 1 of the Schedule\emdash Explanatory
notes.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Average pricing}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
Each type of preparation, such as a cream or mixture, has an average
price. The price is programmed each month
 into all pharmacy computers and represented by a three character code.
The maximum quantities and repeats available for each is listed in
Section 4 of the Schedule\emdash
Table of Codes, Maximum Quantities, and Number of Repeats for
Extemporaneously Prepared Pharmaceutical Benefits.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 For
example, in }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
April}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
2012, the standard price for:}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0
\f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611\charrsid12144291
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar\s20\ql \fi-
360\li720\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls24\adjustright\rin0\lin72
0\itap0\pararsid463746 \rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 100g cream, 13Q, }{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 is}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 $12.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 40, and}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af37\afs22
\ltrch\fcs0
\f3\fs22\lang3081\langfe1033\langfenp1033\insrsid6192611\charrsid12144291
\loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291
200mL mixture (other than a mixture containing codeine phosphate), 40D,
}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 is}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid12144291 $2}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 1.14}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard\plain \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid463746 \rtlch\fcs1
\af37\afs22\alang1025 \ltrch\fcs0
\f37\fs22\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 If these
codes are used, every type of extemporaneous prescription (for example,
creams and mixtures) supplied in a month will be the same price,
regardless of the ingredients supplied.}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
Some preparations have a zero price which means the extemporaneous
preparation type doesn\rquote t have any related standard formulae to cal
culate an average price. Prescriptions submitted for payment for these
average rate codes must include a price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611 Self
pricing}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 An
approved pharmacy can choose to price their extemporaneous }{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 prescriptions}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid12144291
 differently }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 than
accepting the average price}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291
. If they do, they must let Human Services know and the prices must be
applied for at least three months. Every type of extemporaneous
}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 prescription}{\rtlch\fcs1
\af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 must be priced, not selected
prescriptions. This doesn\rquote t apply to standard formulae already
priced in Section 4 of the Schedule.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
The quantities and costs of all the ingredients, plus the relevant
dispensing fee and container price must be listed on the back of the
prescription or the repeat form for Human Services to check.}{\rtlch\fcs1
\af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Exceptional extemporaneous prescriptions}{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
If a pharmacy chooses to be paid the average price, there may be times
where the total cost of ingredients is well above average. If the value
of the ingredients is at least double the value of the average
preparation, the pharmacist can be paid for the
 extra cost. }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 The
prescription must be entered into the computer as a priced }{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 prescription}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid12144291
 showing the full cost so Human Services can pay the extra amount. The
ingredients, costs and all fees must be written on the back of the
prescription or repeat form for Human Services to check.}{\rtlch\fcs1
\af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
Individual extemporaneous preparation prices submitted to Human Services
for claiming purposes must not include allowable extra fees.}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid13640284 For a}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611 n example of pricing an exceptional
extemporaneous prescription }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid13640284 see}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 Appendix A}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid13640284 \emdash }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 example 16}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 .}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Container prices for extemporaneously prepared prescriptions}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 If
a }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 prescriber}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
 asks for a particular quantity then the container of that size (or the
next larger in the case of a non-standard size) is used.}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 If
a quantity larger than the PBS maximum quantity is supplied (for example,
Regulation 24 or authority prescriptions), payment is made for the
minimum number of containers needed.}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 For
example, 100g cream repeat 1 Reg}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 ulation}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 24\emdash
only 1 x 200g screw cap jar (instead of 2 x 100g jars) would be
reimbursed.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Dangerous drug fee}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
There is no dangerous drug fee for extemporaneous }{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 prescriptions}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291
 because it has already been included in the recovery price of the
ingredients.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid12144291 Brand price premium, therapeutic
group premium and special patient contribution charges}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
None of these charges apply to extemporaneous }{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 prescriptions}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291
. As manufacturers don\rquote t supply this medicine in ready prepared
form, the Australian Government doesn\rquote t control the price paid by
pharmacists for ingredients. It is the pharmacist\rquote s responsibility
to chec
k the price they pay to the wholesaler for extemporaneous ingredients is
close to Australian Government reimbursements.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611 PBS
Safety Net recording fee}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 The
additional PBS Safety Net recording fee is paid for the extra work
involved in recording medicine}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 s}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 on the PBS Safety Net PRF and can only
be added to general patients\rquote prescriptions. It is not a
compulsory charge.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
This fee is paid by the patient and can\rquote t be included as part of
any extemporaneously prepared priced }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 prescription }{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid12144291 claimed from Human Services.
}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Allowable extra fee}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 The
allowable extra fee is optional and must not be more than $4.04. It can
only be added to general patients\rquote prescriptions and can\rquote t
be entered on the PBS Safety Net PRF.}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 The
fee is paid by the patient and can\rquote t be included as a part of any
extemporaneously prepared priced }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 prescription}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid12144291 claimed from Human
Services. }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid12918666\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid11428346 {\rtlch\fcs1 \ab\af37\afs28
\ltrch\fcs0 \b\fs28\insrsid8413406\charrsid8413406 More on
pricing}{\rtlch\fcs1
\ab\af37\afs28 \ltrch\fcs0 \b\fs28\insrsid6192611\charrsid6192611
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 PBS
quantities\emdash where a pack cannot be broken}{\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Where a
medicine\rquote s maximum quantity has been specially determined to
correspond to the manufacturer\rquote s pack, the manufacturer\rquote
s standard pack should be prescribed and supplied, even if the prescriber
asks for a lesser quantity. For example, a prescription for 50 Anginine
Stabilised}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol"
 \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 tablets, where 100 tablets (one unopened bottle) should
be supplied. This is identified under the heading \lquote Name, manner of
administration and form and strength\rquote
 (Section 2 of the Schedule).}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 The minimum quantity
that can be supplied is one. Therefore, if a PBS medicine is listed under
the column headed \lquote Name, manner of administration and form and
strength\rquote
 with a specific quantity (for example, 500mL), then the minimum quantity
that can be dispensed is one pack (500mL is a quantity of one). If a
prescriber asks for less than this (for
example, 150mL), it is not a PBS medicine. For example, 150mL of
Gastrogel}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
 mixture is less than one quantity and there is no \lquote supply
standard pack\rquote information icon under the \lquote Name, manner of
administration and form and strength\rquote to bring the quantity up to
500mL.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Where the maximum
quantity of a medicine doesn\rquote t match the quantity contained in the
manufacturer\rquote s pack, an information icon stating this is displayed
below \lquote
Manner of administration and form and strength\rquote . There is also a
corresponding entry in Section 3 of the Schedule that shows the marked-up
price of the manufacturer\rquote s pack.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Fractions are not
allowed under the PBS. For example, a prescription for
Gastrogel}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s 11}{\fldrslt\f3\fs22}}}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 suspension (750mL) would b
e a private prescription. This could be changed to a PBS prescription
with approval from the prescriber and after endorsing the prescription
with the PBS quantity (in this case either 500mL or 1000mL).}{\rtlch\fcs1
\af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 PBS
quantities\emdash where a pack can be broken}{\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 If a prescription is
for a quantity less than the manufacturer\rquote s pack, the wastage
factor is worked out from the quantity in the manufacturer\rquote
s pack (not from the maximum quantity allowed on the PBS).}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 The quantity may
consist of a full manufacturer\rquote s pack plus a broken pack (for
example, Rivotril}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol"
 \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 500mcg x 150). In this example, 100 tablets are paid
from the price in Section 3 of the Schedule and the wastage factor
applies to the 50 tablets (see example 14).}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Container
prices on ready prepared items}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 The container price
only applies to quantities less than the manufacturer\rquote s pack. For
example, it applies to Serepax}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 {\field{\*\fldinst SYMBOL 210 \\f "S
ymbol" \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 30 mg tablets x 10, but not to one month of Nordette
28}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst
SYMBOL 210 \\f "Symbol" \\s 11}{\fldrslt\f3\fs22}}}
{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 , (the price is listed in
Section 3 of the Schedule). It isn\rquote t payable on quantities over
the manufacturer\rquote s pack (for example, Rivotril}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
500mcg x 150 tablets).}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Injectable
medicines with a required solvent }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 Where an injectable
PBS medicine needs a solvent, both items should be treated as one
medicine.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 If the prescription
is for an injectable item and solvent the price of each is added together
(base price plus mark-up) but only one dispensing fee is
payable.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 If a solvent is
prescribed as a part of a PBS medicine only one patient contribution is
charged.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Codes for
injectable items with allowable solvents}{\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 For an injectable
medicine that needs a solvent, the Schedule lists the item code for the
medicine when combined with the relevant solvent.
 In these cases, the solvent used in the combination is the 10mL sodium
chloride injection 9 mg per mL (0.9%). }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 (See example 15)}{\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid12144291 Wastage factor table}{\rtlch\fcs1
\ab\af37 \ltrch\fcs0 \b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
This table }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 is used to
calculate}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
 the price of a prescription when the quantity is less than the
manufacturer\rquote s pack. It compensates for the rest of the broken
pack that isn\rquote t used before expiry and wasted.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491

\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid12918666 \page
}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611\charrsid12144291
Example}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 using
wastage factor table}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
Prescription for 50 Teril}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 tablets 200mg}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 .}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
This is 25 per cent of the manufacturer\rquote s pack (200 tablets). Find
25 }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 from Row
A}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 and }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 look below to Row B}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid12144291 . }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 From Row B, you can see t}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 he price
paid (the wastage factor) would be 38 per cent of the value of the
manufacturer\rquote s pack of 200.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx692\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx1464\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx2236\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx3008\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx3780\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx4552\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx5324\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx6096\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx6868\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth841\clcbpatraw17
\cellx7641\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth841\clcbpatraw17 \cellx8414\pard
\ltrpar
\ql
\li0\ri0\sl250\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\pararsid14581713 {\rtlch\fcs1 \ab\af37\afs20
\ltrch\fcs0 \b\fs20\insrsid6192611\charrsid3364438 Row A\cell 5\cell
10\cell 15\cell 20\cell 25\cell 30\cell
35\cell 40\cell 45\cell 50\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14645011
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx692\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx1464\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx2236\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx3008\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx3780\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx4552\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx5324\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx6096\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth840\clcbpatraw17
\cellx6868\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth841\clcbpatraw17
\cellx7641\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat17\cltxlrtb\clftsWidth3\clwWidth841\clcbpatraw17 \cellx8414\row
\ltrrow
}\trowd \irow1\irowband1\lastrow \ltrrow\ts11\trgaph108\trleft-
108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
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7\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr234\dpfillbgcg241\d
pfillbgcb249\dpfillpat1\dplinehollow
\dpendgroup\dpx0\dpy0\dpxsize0\dpysize0\dpgroup\dpcount2\dpx10\dpy804\dpx
size2\dpysize397\dppolyline\dppolycount3\dpptx0\dppty0\dpptx0\dppty397\dp
ptx0\dppty0\dpx0\dpy0\dpxsize2\dpysize397
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr234\dpfillbgcg241\dp
fillbgcb249\dpfillpat1\dplinehollow\dpendgroup\dpx0\dpy0\dpxsize0\dpysize
0\dpgroup\dpcount2\dpx10\dpy407\dpxsize2\dpysize397\dppolyline\dppolycoun
t3\dpptx0\dppty0\dpptx0\dppty397
\dpptx0\dppty0\dpx0\dpy0\dpxsize2\dpysize397\dpfillfgcr255\dpfillfgcg255\
dpfillfgcb255\dpfillbgcr200\dpfillbgcg222\dpfillbgcb241\dpfillpat1\dpline
hollow\dpendgroup\dpx0\dpy0\dpxsize0\dpysize0\dpgroup\dpcount2\dpx10\dpy1
201\dpxsize2\dpysize397
\dppolyline\dppolycount3\dpptx0\dppty0\dpptx0\dppty397\dpptx0\dppty0\dpx0
\dpy0\dpxsize2\dpysize397\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfil
lbgcr200\dpfillbgcg222\dpfillbgcb241\dpfillpat1\dplinehollow
\dpendgroup\dpx0\dpy0\dpxsize0\dpysize0\dpendgroup\dpx0\dpy0\dpxsize0\dpy
size0}}}{\shpgrp{\*\shpinst\shpleft9169\shptop-
1835\shpright9189\shpbottom-
228\shpfhdr0\shpbxpage\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\s
hpfblwtxt1\shpz3\shplid1053
{\sp{\sn groupLeft}{\sv 9169}}{\sp{\sn groupTop}{\sv -1835}}{\sp{\sn
groupRight}{\sv 9189}}{\sp{\sn groupBottom}{\sv -228}}{\sp{\sn
fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn
dhgt}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}
{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv
1}}{\shpgrp{\*\shpinst\shplid1054{\sp{\sn groupLeft}{\sv 9179}}{\sp{\sn
groupTop}{\sv -1825}}{\sp{\sn groupRight}{\sv 9181}}
{\sp{\sn groupBottom}{\sv -1428}}{\sp{\sn relLeft}{\sv 9179}}{\sp{\sn
relTop}{\sv -1825}}{\sp{\sn relRight}{\sv 9181}}{\sp{\sn relBottom}{\sv -
1428}}{\sp{\sn fRelFlipH}{\sv 0}}
{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn dhgt}{\sv 251673600}}{\sp{\sn
fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn
fLayoutInCell}{\sv 1}}{\shp{\*\shpinst\shplid1055
{\sp{\sn relLeft}{\sv 9179}}{\sp{\sn relTop}{\sv -1825}}{\sp{\sn
relRight}{\sv 9181}}{\sp{\sn relBottom}{\sv -1428}}{\sp{\sn
fRelFlipH}{\sv 0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv
0}}{\sp{\sn geoLeft}{\sv 9179}}{\sp{\sn geoTop}{\sv -1825}}
{\sp{\sn geoRight}{\sv 9179}}{\sp{\sn geoBottom}{\sv -1428}}{\sp{\sn
shapePath}{\sv 0}}{\sp{\sn pVerticies}{\sv 8;3;(9179,-1825);(9179,-
1428);(9179,-1825)}}{\sp{\sn pSegmentInfo}{\sv
2;5;16384;44032;2;44032;32768}}{\sp{\sn fillColor}{\sv 16380394}}
{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn
fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn
fLayoutInCell}{\sv 1}}}}}}{\shpgrp{\*\shpinst\shplid1056{\sp{\sn
groupLeft}{\sv 9179}}{\sp{\sn groupTop}{\sv -1031}}
{\sp{\sn groupRight}{\sv 9181}}{\sp{\sn groupBottom}{\sv -634}}{\sp{\sn
relLeft}{\sv 9179}}{\sp{\sn relTop}{\sv -1031}}{\sp{\sn relRight}{\sv
9181}}{\sp{\sn relBottom}{\sv -634}}
{\sp{\sn fRelFlipH}{\sv 0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn dhgt}{\sv
251674624}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv
1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shp{\*\shpinst\shplid1057
{\sp{\sn relLeft}{\sv 9179}}{\sp{\sn relTop}{\sv -1031}}{\sp{\sn
relRight}{\sv 9181}}{\sp{\sn relBottom}{\sv -634}}{\sp{\sn fRelFlipH}{\sv
0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 0}}{\sp{\sn
geoLeft}{\sv 9179}}{\sp{\sn geoTop}{\sv -1031}}
{\sp{\sn geoRight}{\sv 9179}}{\sp{\sn geoBottom}{\sv -634}}{\sp{\sn
shapePath}{\sv 0}}{\sp{\sn pVerticies}{\sv 8;3;(9179,-1031);(9179,-
634);(9179,-1031)}}{\sp{\sn pSegmentInfo}{\sv
2;5;16384;44032;2;44032;32768}}{\sp{\sn fillColor}{\sv 16380394}}
{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn
fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn
fLayoutInCell}{\sv 1}}}}}}{\shpgrp{\*\shpinst\shplid1058{\sp{\sn
groupLeft}{\sv 9179}}{\sp{\sn groupTop}{\sv -1428}}
{\sp{\sn groupRight}{\sv 9181}}{\sp{\sn groupBottom}{\sv -1031}}{\sp{\sn
relLeft}{\sv 9179}}{\sp{\sn relTop}{\sv -1428}}{\sp{\sn relRight}{\sv
9181}}{\sp{\sn relBottom}{\sv -1031}}
{\sp{\sn fRelFlipH}{\sv 0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn dhgt}{\sv
251675648}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv
1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shp{\*\shpinst\shplid1059
{\sp{\sn relLeft}{\sv 9179}}{\sp{\sn relTop}{\sv -1428}}{\sp{\sn
relRight}{\sv 9181}}{\sp{\sn relBottom}{\sv -1031}}{\sp{\sn
fRelFlipH}{\sv 0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv
0}}{\sp{\sn geoLeft}{\sv 9179}}{\sp{\sn geoTop}{\sv -1428}}
{\sp{\sn geoRight}{\sv 9179}}{\sp{\sn geoBottom}{\sv -1031}}{\sp{\sn
shapePath}{\sv 0}}{\sp{\sn pVerticies}{\sv 8;3;(9179,-1428);(9179,-
1031);(9179,-1428)}}{\sp{\sn pSegmentInfo}{\sv
2;5;16384;44032;2;44032;32768}}{\sp{\sn fillColor}{\sv 15851208}}
{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn
fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn
fLayoutInCell}{\sv 1}}}}}}{\shpgrp{\*\shpinst\shplid1060{\sp{\sn
groupLeft}{\sv 9179}}{\sp{\sn groupTop}{\sv -634}}
{\sp{\sn groupRight}{\sv 9181}}{\sp{\sn groupBottom}{\sv -237}}{\sp{\sn
relLeft}{\sv 9179}}{\sp{\sn relTop}{\sv -634}}{\sp{\sn relRight}{\sv
9181}}{\sp{\sn relBottom}{\sv -237}}
{\sp{\sn fRelFlipH}{\sv 0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn dhgt}{\sv
251676672}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv
1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shp{\*\shpinst\shplid1061
{\sp{\sn relLeft}{\sv 9179}}{\sp{\sn relTop}{\sv -634}}{\sp{\sn
relRight}{\sv 9181}}{\sp{\sn relBottom}{\sv -237}}{\sp{\sn fRelFlipH}{\sv
0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 0}}{\sp{\sn
geoLeft}{\sv 9179}}{\sp{\sn geoTop}{\sv -634}}
{\sp{\sn geoRight}{\sv 9179}}{\sp{\sn geoBottom}{\sv -237}}{\sp{\sn
shapePath}{\sv 0}}{\sp{\sn pVerticies}{\sv 8;3;(9179,-634);(9179,-
237);(9179,-634)}}{\sp{\sn pSegmentInfo}{\sv
2;5;16384;44032;2;44032;32768}}{\sp{\sn fillColor}{\sv 15851208}}
{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn
fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn
fLayoutInCell}{\sv
1}}}}}}}{\shprslt{\*\do\dobxpage\dobypara\dodhgt3\dpgroup\dpcount5\dpx916
9\dpy-1835\dpxsize20\dpysize1607
\dpgroup\dpcount2\dpx10\dpy10\dpxsize2\dpysize397\dppolyline\dppolycount3
\dpptx0\dppty0\dpptx0\dppty397\dpptx0\dppty0\dpx0\dpy0\dpxsize2\dpysize39
7\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr234\dpfillbgcg241\d
pfillbgcb249\dpfillpat1\dplinehollow
\dpendgroup\dpx0\dpy0\dpxsize0\dpysize0\dpgroup\dpcount2\dpx10\dpy804\dpx
size2\dpysize397\dppolyline\dppolycount3\dpptx0\dppty0\dpptx0\dppty397\dp
ptx0\dppty0\dpx0\dpy0\dpxsize2\dpysize397
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr234\dpfillbgcg241\dp
fillbgcb249\dpfillpat1\dplinehollow\dpendgroup\dpx0\dpy0\dpxsize0\dpysize
0\dpgroup\dpcount2\dpx10\dpy407\dpxsize2\dpysize397\dppolyline\dppolycoun
t3\dpptx0\dppty0\dpptx0\dppty397
\dpptx0\dppty0\dpx0\dpy0\dpxsize2\dpysize397\dpfillfgcr255\dpfillfgcg255\
dpfillfgcb255\dpfillbgcr200\dpfillbgcg222\dpfillbgcb241\dpfillpat1\dpline
hollow\dpendgroup\dpx0\dpy0\dpxsize0\dpysize0\dpgroup\dpcount2\dpx10\dpy1
201\dpxsize2\dpysize397
\dppolyline\dppolycount3\dpptx0\dppty0\dpptx0\dppty397\dpptx0\dppty0\dpx0
\dpy0\dpxsize2\dpysize397\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfil
lbgcr200\dpfillbgcg222\dpfillbgcb241\dpfillpat1\dplinehollow
\dpendgroup\dpx0\dpy0\dpxsize0\dpysize0\dpendgroup\dpx0\dpy0\dpxsize0\dpy
size0}}}}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid12144291 Brand price premium, therapeutic group
premium and special patient contribution\emdash broken packs}{
\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291
The wastage factor table is applied to all of these charges (brand price
premium, therapeutic group premium and special patient contribution) if a
broken pack is involved. These charges form part of the overall cost of
the medicine so pharmacists are paid
 according to the wastage factor table.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid12144291 The
brand price premium, therapeutic group premium and special patient
contribution are all mandatory charges to the patient and failure to
apply these charges is a breach of the Act.}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 {\rtlch\fcs1 \ab\af37\afs28
\ltrch\fcs0 \b\fs28\insrsid6192611
\par }{\rtlch\fcs1 \ab\af37\afs28 \ltrch\fcs0 \b\fs28\insrsid12918666
\page }{\rtlch\fcs1 \ab\af37\afs28 \ltrch\fcs0 \b\fs28\insrsid6192611
Appendix A}{\rtlch\fcs1 \ab\af37\afs28 \ltrch\fcs0
\b\fs28\insrsid13640284 \emdash }{\rtlch\fcs1 \ab\af37\afs28
\ltrch\fcs0 \b\fs28\insrsid6192611 PBS }{\rtlch\fcs1 \ab\af37\afs28
\ltrch\fcs0 \b\fs28\insrsid13640284 p}{\rtlch\fcs1 \ab\af37\afs28
\ltrch\fcs0 \b\fs28\insrsid6192611 ricing }{\rtlch\fcs1 \ab\af37\afs28
\ltrch\fcs0 \b\fs28\insrsid13640284 e}{
\rtlch\fcs1 \ab\af37\afs28 \ltrch\fcs0 \b\fs28\insrsid6192611
xamples}{\rtlch\fcs1 \ab\af37\afs28 \ltrch\fcs0
\b\fs28\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid13640284
Example 1}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
\emdash }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid13640284
p}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 harmacist percentage mark-up, increased quantity
and Regulation 24}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\keep\keepn\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\outl
inelevel1\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Serenace}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
tablet 500mcg x 100 (Item 2761H)}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\keep\keepn\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\outl
inelevel1\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Cost}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$3.60#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Mark-up (15%)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$0.54#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Dispensing fee}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$6.42#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
PBS Safety Net recording fee}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$1.09}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
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\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
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106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
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\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
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45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Allowable extra fee}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$4.04}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
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\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
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106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
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45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Total}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
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\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$15.69}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
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\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow6\irowband6\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
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106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row }\pard \ltrpar\ql \li0\ri-
46\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustr
ight\rin-46\lin0\itap0\pararsid6097673 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11425559
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
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\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
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106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
General}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Patient contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$15.69}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Australian Government contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$0.00}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Amount recordable on PBS Safety Net PRF}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$11.65 (doesn}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 \rquote
}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891 t
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Patient contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$5.80}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Australian Government contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$4.76 (sum of # - $5.80 = $10.56 - $5.80)}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Amount recordable on PBS Safety Net PRF}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$5.80}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Patient contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$0.00}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Australian Government contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$10.56 (sum of #)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow10\irowband10\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row }\pard \ltrpar\ql \li0\ri-
46\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustr
ight\rin-46\lin0\itap0\pararsid6097673 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql \li0\ri-
46\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustr
ight\rin-46\lin0\itap0\pararsid14223694 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid11167647 {\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611 Dangerous medicines}{\rtlch\fcs1 \ab\af37
\ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
If this example was a dangerous medicine, a dangerous drug fee of $2.71
would be added to the total prescription amount (included as a # amount)
and would count toward the total entered on the PBS Safety Net
PRF.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Multiple
packs}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid15031424 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 If multiple packs are suppli
ed, the mark-up is to be applied before other calculations. Cost + mark-
up is worked out for one pack and then multiplied by the number of
packs.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid15031424
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 {\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611 Authority prescription}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Serenace}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
tablet 500mcg x 400 (Item 2761H)}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Approved authority}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell \cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Cost of one pack +mark-up (15%) ($3.60 + $0.54)}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$4.14}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Cost + mark-up of four packs (4 x ($3.60 + $0.54))}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$16.56#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Dispensing fee (one only)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$6.42#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
PBS Safety Net recording fee (one only)}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$1.09}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Allowable extra fee (one only)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$4.04}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Total}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$28.11}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow7\irowband7\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row }\pard \ltrpar\ql \li0\ri-
46\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustr
ight\rin-46\lin0\itap0\pararsid11167647 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid5854012
\par \page }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11425559
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
General}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Patient contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$28.11}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Australian Government contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$0.00}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Amount recordable on PBS Safety Net PRF}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$24.07(doesn}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 \rquote
}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891 t
include allowable extra fee)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Patient contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$5.80}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Australian Government contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$17.18 (sum of # - $5.80 = $22.98 - $5.80)}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Amount recordable on PBS Safety Net PRF}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$5.80}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
PBS Safety Net entitlement cardholder (patient pays nothing)}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Patient contribution}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$0.00}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Australian Government contribution}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$22.98 (sum of #)}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Amount recordable on PBS Safety Net PRF}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$0.00}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 {\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid11167647 {\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611 Regulation 24}{\rtlch\fcs1 \ab\af37
\ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 If the prescription
is for 100 tablets with two repeats and is endorsed as Regulation 24 by
the prescriber.}{\rtlch\fcs1 \af37\afs24 \ltrch\fcs0
\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Serenace}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
tablet 500mcg x 100 (Item 2761H)}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 ,
two}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
repeat}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 s,}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Regulation 24}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Cost of one pack +mark-up ($3.60 + $0.54)}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$4.14}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Cost + mark-up of three packs (3 x ($3.60 + $0.54))}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$12.42#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Dispensing fee (one only)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$6.42#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
PBS Safety Net recording fee (one only)}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$1.09}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Allowable extra fee (one only)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$4.04}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Total}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$23.97}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow6\irowband6\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row }\pard \ltrpar\ql \li0\ri-
46\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustr
ight\rin-46\lin0\itap0\pararsid11167647 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
General}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Patient contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$23.97}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Australian Government contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$0.00}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Amount recordable on PBS Safety Net PRF}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$19.93(doesn}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 \rquote
}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891 t
include allowable extra fee)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
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\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
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214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
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\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
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45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
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\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
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\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
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45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Patient contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$17.40 (3 x $5.80)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
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\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Australian Government contribution}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$1.44 (sum of # - $17.40 = $18.84 - $17.40)}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Amount recordable on PBS Safety Net PRF}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$17.40 (3 x $5.80)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
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\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
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214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
PBS Safety Net entitlement cardholder (patient pays nothing)}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
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214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Patient contribution}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$0.00}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11425559
\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Australian Government contribution}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$18.84 (sum of #)}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11425559 \trowd
\irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
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\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
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\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Amount recordable on PBS Safety Net PRF}{\rtlch\fcs1 \af37\afs20
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$0.00}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
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\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
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\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
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\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid11167647 {\rtlch\fcs1 \af37
\ltrch\fcs0
\insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid2111418 {\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611 Example }{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0
\b\fs24\insrsid13640284 2}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 \emdash }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid13640284 b}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 rand price premium}{
\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
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\li0\ri-
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\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 Oxazepam
}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Tablet 30mg x 25}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Serepax}{\rtlch\fcs1 \af37
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(Item 3133X)}{\rtlch\fcs1 \ab\af37\afs20
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\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Generic oxazepam}{\rtlch\fcs1 \ab\af37\afs20
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\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
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\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Cost}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$3.41#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
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$1.07#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
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\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
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\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
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\cellx5771\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
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\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Mark-up (15%)}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
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$0.51#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$0.16#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
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\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2933\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5771\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
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\ltrrow}\pard \ltrpar\ql \li0\ri-45\widctlpar\intbl
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
Dispensing fee}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid13462891
$6.42#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid11425559
\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
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$6.42#}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
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45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
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\cell }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
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\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
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\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
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\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
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\ql \li0\ri-
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Total\cell
$15.47 (includes brand price premium}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 )}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
\cell $12.78\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow6\irowband6\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2933\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5771\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row }\pard
\ltrpar\ql \li0\ri-46\sl250\slmult1\widctlpar
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
46\lin0\itap0\pararsid2111418 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql \li0\ri-
45\sa200\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\itap0\pararsid2111418 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
The brand price premium is calculated by subtracting the sum of # for the
generic oxazepam ($7.65) from the sum of # for the more expensive
Serepax}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst
SYMBOL 210 \\f "Symbol" \\s 11}{\fldrslt
\f3\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 ($10.34). The
brand price premium is $10.34 - $7.65 = $2.69.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 This technique is
used to calculate all brand price premiums and therapeutic group
premiums.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Price
calculations for Serepax}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Patient contribution\cell $15.47
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Australian Government contribution
\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid3172276 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
$8.74 (sum of # for Serepax}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 {\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276 +
PBS Safety Net recording fee }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 -}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
brand price premium) or (sum of # for the generic + PBS Safety Net
recording fee)\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Patient contribution\cell $8.49 ($5.80 + $2.69 brand price premium)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Australian Government contribution\cell $1.85 (sum of # for
Serepax}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst
SYMBOL 210 \\f "Symbol" \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276 -
$5.80 \endash brand price premium) or (sum of # for the generic -
$5.80)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276 \trowd
\irow6\irowband6\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Patient contribution\cell $2.69 (brand price premium)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid3172276 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Australian Government contribution
\cell $7.65 (sum of # for Serepax}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 {\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
\endash brand price premium) or (sum of # for the generic )\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276 \trowd
\irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Amount recordable of the PBS Safety Net PRF\cell $0.00\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid3172276 #Components that make up the
dispensed price.
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid1521801 {\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611\charrsid3172276 Example }{\rtlch\fcs1
\ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid13640284 3\emdash e}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611\charrsid3172276
xtemporaneously prepared plus water fee
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Maxamox}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst
SYMBOL 210 \\f "Symbol" \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
suspension 500mg/5mL x 100mL (Item 8705E)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid3172276 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Cost\cell $3.08#\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Mark-up (15%)\cell $0.46#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid3172276 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Water (priced as 100mL, includes a mark-up, see section 4 of the
schedule)\cell $0.54#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Dispensing fee\cell $8.46#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276 PBS
Safety Net recording fee\cell $1.44\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid3172276 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Allowable extra fee\cell $4.04\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Total\cell $18.02\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid3172276 \trowd \irow7\irowband7\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql \li0\ri-
46\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustr
ight\rin-46\lin0\itap0\pararsid1521801 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid3172276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Patient contribution\cell $18.02\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Australian Government contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Amount recordable on PBS Safety Net PRF\cell $13.98 (doesn\rquote t
include allowable extra fee)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid3172276 \trowd
\irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid3172276 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Australian Government contribution\cell $6.74 (sum of # - $5.80)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid3172276 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Australian Government contribution\cell $12.54 (sum of #)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid3172276
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid3172276
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid1521801 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Authority
prescription}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 If the prescription
is for an approved authority for 2 x 100mL:}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Maxamox}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst
SYMBOL 210 \\f "Symbol" \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
suspension 500mg/5mL x 100mL (Item 8705E), quantity of 2\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid14223694 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Approved authority\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid14223694 \trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Cost of one suspension + mark-up (15%) ($3.08 + $0.46)\cell $3.54\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Cost + mark-up of two suspensions (2 x ($3.08 + $0.46))\cell $7.08#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Water (one per suspension) (2 x $0.54)\cell $1.08#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Dispensing fee (one per suspension) (2 x $8.46)\cell $16.92#\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
PBS Safety Net recording fee (one only)\cell $1.44\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Allowable extra fee (one only)\cell $4.04\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Total\cell
$30.56\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow8\irowband8\lastrow \ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql \li0\ri-
46\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustr
ight\rin-46\lin0\itap0\pararsid1521801 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0 \fs20\insrsid6192611\charrsid14223694
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell $30.56\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $26.52 (doesn\rquote t
include allowable extra fee)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid14223694 \trowd
\irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid14223694 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution\cell $19.28 (sum of # - $5.80)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid14223694 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution\cell $25.08(sum of #)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid1521801 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid14558551 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
Unlike ready prepared medicines, the extemporaneous plus water dispensing
fee is applicable for each maximum quantity supplied. }{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid11757449 {\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611 Regulation 24}{\rtlch\fcs1 \ab\af37
\ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 If the prescription
is for 500mg/5mL x 100mL suspension with two repeats and is endorsed as
Regulation 24 by a prescriber.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\as
palpha\aspnum\faauto\adjustright\rin-45\lin0\pararsid14223694
{\rtlch\fcs1 \ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Maxamox}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst
SYMBOL 210 \\f "Symbol" \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
suspension 500mg/5mL x 100mL (Item 8705E), two repeats, Regulation
24\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\as
palpha\aspnum\faauto\adjustright\rin-45\lin0\pararsid14223694 {
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Approved authority\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid14223694 \trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\as
palpha\aspnum\faauto\adjustright\rin-45\lin0\pararsid14223694
{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Cost of one suspension + mark-up ($3.08 + $0.46)\cell $3.54\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\as
palpha\aspnum\faauto\adjustright\rin-45\lin0\pararsid14223694
{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Cost + mark-up of three suspensions (3 x ($3.08 + $0.46))\cell
$10.62#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\as
palpha\aspnum\faauto\adjustright\rin-45\lin0\pararsid14223694
{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Water (one per suspension) (3x $0.54)\cell $1.62#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\as
palpha\aspnum\faauto\adjustright\rin-45\lin0\pararsid14223694
{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Dispensing fee (one per suspension) (3 x $8.46)\cell $2}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 5}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
.3}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 8}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\as
palpha\aspnum\faauto\adjustright\rin-45\lin0\pararsid14223694
{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Total\cell $37.62\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid14223694
\trowd \irow6\irowband6\lastrow \ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4265\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid11757449 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
 Unlike ready prepared medicines, the extemporaneous plus water
dispensing fee is applicable for each maximum quantity supplied.
}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid12918666
\par \page }{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell $35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution\cell $2.22 (sum of # - $35.40)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $35.40 \cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell $17.40 (3 x $5.80)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution\cell $20.22 (sum of # - $17.40 =
$37.62 - $17.40)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $17.40 (or 3 x $5.80)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution\cell $37.62 (sum of #)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid11757449 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 As the total is
greater than $35.40, the PBS Safety Net fee and the allowable extra fee
don\rquote t apply.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid3566908 {\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611 Example }{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0
\b\fs24\insrsid13640284 4}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 \emdash PBS Safety Net recording fee}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Glucobay 50}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
tablet 50mg x 90 (Item 8188Y)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Cost\cell
$24.44#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Mark-up (15%)\cell $3.67#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Dispensing fee\cell $6.42#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
PBS Safety Net recording fee\cell
$0.87\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Total\cell $35.40\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611
The full PBS Safety Net recording fee would have taken the total cost
over $35.40. To prevent this, the fee is reduced to bring the maximum
price down to $35.40. No allowable extra fee is charged.
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
\page }{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
$35.40\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $35.40\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution
\cell $28.73 (sum of # - $5.80)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution
\cell $34.53 (sum of #)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4485\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4143\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid2828853 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid12918666
\page }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid13640284
Example 5}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
\emdash }{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid13640284 b}{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611 rand price premium and allowable extra
fee}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2927\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5770\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {
\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 Pravastatin
}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Tablet}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 containing
pravastatin sodium}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
80mg x }{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 30}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
\cell Pravachol}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 {\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
(Item 9240H}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 ,
8829Q}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
)\cell Generic pravastatin\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2927\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5770\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Cost\cell $25.70#\cell $23.82#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2927\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5770\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Mark-up (15%)\cell
$3.86#\cell $3.57#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2927\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5770\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-45\widctlpar\intbl
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Dispensing fee\cell $6.42#\cell $6.42#\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2927\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5770\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
PBS Safety Net recording fee\cell
$1.09\cell $1.09\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2927\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5770\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-45\widctlpar\intbl
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Allowable extra fee\cell $0.50\cell $0.50\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2927\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5770\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Total\cell
$37.57 (includes brand price premium\cell $35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3379\clshdrawnil
\cellx2927\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth3040\clshdrawnil
\cellx5770\clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth2823\clshdrawnil \cellx8414\row }\pard
\ltrpar\ql \li0\ri-46\sl250\slmult1\widctlpar
\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-
46\lin0\itap0\pararsid2828853 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql \li0\ri-
45\sa200\sl250\slmult1\widctlpar\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\itap0\pararsid2828853 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
The brand price premium is calculated by subtracting the sum of # for the
generic pravastatin ($33.81) from the sum of # for the more expensive
Pravachol}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol"
 \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611 ($35.98). The brand price premium is $35.98 - $33.81 =
$2.17.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 This technique is
used to calculate all brand price premiums and therapeutic group
premiums.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 The allowable extra
fee has to be reduced to $0.50 so the total amount charged to general
patients is $35.40 (not including the $2.17 brand price
premium).}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Price
calculations for Pravachol}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell
}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
$37.57 ($35.40 + brand price premium)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $34.90 (sum of # for
Pravachol}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694 +
PBS Safety Net recording fee \endash brand price premium) or (sum of #
for the generic + PBS Safety Net recording fee)\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell $7.97 ($5.80 + brand price premium)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution\cell $28.01 (sum of # for
Pravachol}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694 -
$5.80 - brand price premium) or (sum of # for the generic - $5.80)\cell
}\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow7\irowband7\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Patient contribution\cell $2.17 (brand price premium)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Australian Government contribution\cell $33.81 (sum of # for
Pravachol}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694 -
brand price premium) or (sum of # for the generic )\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Amount recordable of the PBS Safety Net PRF\cell $0.00\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4253\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid2828853 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid12918666
\page }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Example }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid13640284
6}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 \emdash }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid13640284 i}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 ncreased quantity and mark-up}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Macrodantin}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
capsule 100mg x 30 (Item 1693D)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Cost of one pack\cell $17.25#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Mark-up (15%)\cell $2.59#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Dispensing fee\cell $6.42#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
PBS Safety Net recording fee\cell
$1.09\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Allowable extra fee\cell $4.04\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid14223694
Total\cell $31.39\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow6\irowband6\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid2828853 {\rtlch\fcs1 \ab\af37
\ltrch\fcs0 \b\insrsid6192611
\par Approved authority}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 If the prescription
is for an approved authority for 120 capsules.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Macrodantin}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
capsule 100mg (Item 1693D), quantity of 120\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost of one pack + mark-up ($17.25 + $2.59)\cell $19.84\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost + mark-up of four packs (4 x ($17.25 + $2.59))\cell $79.36#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee (one only)\cell
$6.42#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $85.78\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid16122156 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 \line For the increased
 quantity of 120, the mark-up remains at 15 per cent (based on the cost
price for the listed quantity). As the total is greater than $35.40, the
PBS Safety Net fee and the allowable extra fee don\rquote t
apply.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $50.38 (sum of # - $35.40)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $35.40\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $79.98 (sum of # - $5.80)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $85.78 (sum of #)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid2828853 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid16122156 {\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid5854012 \page }{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0
\b\fs24\insrsid6192611 Example}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid13640284 7}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 \emdash }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid13640284 p}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611 harmacy mark-up dollar
value}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Caprilon}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
compound powder 420g x 8 (Item 8629E)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4262\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost of one pack\cell $55.38\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4262\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up ($18.00) (mark-up for listed maximum quantity of 8 apportioned
per pack = $2.25)\cell $2.25\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4262\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost of one pack + mark-up ($55.38 + $2.25)\cell $57.63\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4262\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost + mark-up of eight packs (8 x ($55.38 + $2.25))\cell $461.04#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4262\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee\cell $6.42#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4262\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $467.46\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow6\irowband6\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4262\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid16122156 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
Since the cost price for maximum quantity (regardless of quantity to be
supplied) is between $180 and $450, the $18 flat mark-up
applies.}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \insrsid6192611\charrsid13640284
If the prescription is for a lesser quantity of four.
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Caprilon}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
compound powder 420g x 4 (Item 8629E)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4256\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost of one pack + mark-up ($55.38 + $2.25)\cell $57.63\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4256\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost + mark-up of four packs (4 x ($55.38 + $2.25))\cell $230.52#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4256\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee\cell $6.42#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4256\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $236.94\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow4\irowband4\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4256\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid16122156 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 \line As the quantity supplied is less than
the listed maximum quantity, the mark-up is reduced proportionately. In
this example, half the listed maximum quantity has been supplied so the
mark-up is reduced to the quantity supplied (4 x @2.25 = $9). As the
total is greater than $35.40, the PBS Safe
ty Net fee and the allowable extra fee don\rquote t apply.}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution
\cell }\pard \ltrpar\ql \li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $201.54 (sum of # - $35.40)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $35.40\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $231.14 (sum of # - $5.80)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $236.94 (sum of #)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid16122156 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid13459745 {\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid5854012 \page }{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0
\b\fs24\insrsid6192611 Example }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid13640284 8}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 \emdash }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid13640284 p}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611 harmacy mark-up
percentage value}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Certican}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
tablet 0.5mg x 60 (Item 8841H)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4256\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost\cell $516.74#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4256\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up (4%)\cell $20.67#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4256\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee\cell $6.42#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4256\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $543.83\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow4\irowband4\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4256\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid13459745 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
Since the cost price for maximum quantity (regardless of quantity to be
supplied) is greater than $450, the four per cent mark-up applies. As the
total is greater than $35.40, the PBS Safety Net fee and the allowable
extra fee don\rquote t apply.}{
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $508.43 (sum of # - $35.40)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $35.40\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $538.03 (sum of # - $5.80)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $543.83 (sum of #)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4267\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid13459745 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid11287412 {\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611 Example }{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0
\b\fs24\insrsid13640284 9}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 \emdash }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid13640284 p}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611 harmacy mark-up dollar value
}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Sutent}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst
SYMBOL 210 \\f "Symbol" \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
capsule 12.5mg x 28 (Item 9417P, 9420T and 9488J)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4249\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost\cell $1,757.78#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4249\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up ($70)\cell $70.00#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4249\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee\cell $6.42#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4249\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $1,834.20\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow4\irowband4\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4249\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid11287412 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
Since the cost price for maximum quantity (regardless of quantity to be
supplied) is greater than $1750, the $70 mark-up applies. As the total is
greater than $35.40, the PBS Safety Net fee and the allowable extra fee
don\rquote t apply.}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
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\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $1,798.80 (sum of # -
$35.40)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
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\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $35.40\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
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\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $1,828.40 (sum of # - $5.80)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $1,834.20 (sum of #)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4260\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid11287412 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid13572481 {\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid5854012 \page }{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0
\b\fs24\insrsid6192611 Example 10\emdash }{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid13640284 t}{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611 herapeutic group premium}{\rtlch\fcs1
\ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Ordinary
prescription}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Atacand}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst
SYMBOL 210 \\f "Symbol" \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
tablet 32mg x 30 (Item 8889W)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost\cell $28.82#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up (15%)\cell $4.32#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee\cell $6.42#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $39.56\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow4\irowband4\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid13572481 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
In this case the maximum the Australian Government pays is $36.69. The
difference of $2.87 is the therapeutic group premium. The total amount
charged to general patients is $35.40 (not including the $2.87
therapeutic group premium price).}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid12918666
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$38.27 ($35.40 + $2.87 therapeutic group premium)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $1.29 (sum of # - $35.40 - $2.87
therapeutic group premium)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $35.40\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
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\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
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-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $8.67 ($5.80 + $2.87 therapeutic group
premium)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414
\row \ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $30.89 (sum of # - $5.80 - $2.87
therapeutic group premium)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow6\irowband6\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $2.87 (therapeutic group premium)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $36.69 (sum of # - $2.87
therapeutic group premium)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow12\irowband12\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
RPBS benefits}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow12\irowband12\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow13\irowband13\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow13\irowband13\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $33.76 (sum of # - 5.80)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow14\irowband14\ltrrow\ts11\trgaph108\trleft-
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\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
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in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow15\irowband15\lastrow \ltrrow\ts11\trgaph108\trleft-
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\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
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\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4465\clshdrawnil
\cellx4251\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4163\clshdrawnil \cellx8414\row
}\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid13572481 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Authority
prescription granting exemption from the therapeutic group
premium}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
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\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Atacand}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611 {\field{\*\fldinst
SYMBOL 210 \\f "Symbol" \\s 11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
tablet 32mg x 30 (Item 8}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 999P}{\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost\cell $28.82#
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up ($15%)\cell
$4.32#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee\cell
$6.42#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $39.56
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\lastrow \ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid13572481 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid5854012
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid5854012 \page
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid5854012
\page }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow1\irowband1\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $4.16 (sum of # - $35.40)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $35.40\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $33.76 (sum of # - $5.80)\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8628\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $39.56 (sum of #)\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\row \ltrrow
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\t
rpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5854012\tbllkhdrrows\tbllkh
drcols\tblind-106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4482\clshdrawnil
\cellx4268\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4146\clshdrawnil \cellx8414\row
}\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid13572481 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8980134 {\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611 Example 11\emdash }{\rtlch\fcs1
\ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid13640284 d}{\rtlch\fcs1 \ab\af37\afs24
\ltrch\fcs0 \b\fs24\insrsid6192611 ispensed price in community pharmacy,
public and private hospital}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Community
pharmacy}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1
\ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
OxyContin}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
tablet 40mg x 28 (Item 8387K)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\
faauto\adjustright\rin-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost (manufacturer\rquote s price + 7.52% mark-up for the
wholesaler)\cell $48.61#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up (10%)\cell $4.86#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dangerous drug fee\cell $2.71#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee\cell $6.42#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $62.60\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow5\irowband5\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8980134 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $27.20 \cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $35.40\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $56.80 (sum of # - $5.80)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $62.60 (sum of #)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8980134 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid5854012 \page
}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Section 94 private
hospital}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
OxyContin}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
tablet 40mg x 28 (Item 8387K)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost (manufacturer\rquote
s price + 11.1% mark-up for the wholesaler)\cell $50.23#\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up (1.4%)\cell $0.70#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dangerous drug fee\cell $2.71#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee\cell $6.42#\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
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\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $60.06\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd \irow5\irowband5\lastrow
\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8980134 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell
}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\row \ltrrow}\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $24.66 \cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $35.40\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $54.26 (sum of # - $5.80)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil
\cellx8414\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $60.06 (sum of #)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8980134 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\insrsid6192611 Approved public
hospital pharmacy}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
OxyContin}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611
{\field{\*\fldinst SYMBOL 210 \\f "Symbol" \\s
11}{\fldrslt\f3\fs22}}}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
tablet 40mg x 28 (Item 8387K)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost (manufacturer\rquote
s price + 11.1% mark-up for the wholesaler)\cell $50.23#\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up (not applicable)\cell $0.00
\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dangerous drug fee (not applicable)
\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee (not applicable)
\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Total\cell $50.23\cell
}\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow5\irowband5\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4279\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8980134 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
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\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
General\cell }\pard \ltrpar\ql
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\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
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\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
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\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
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\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
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\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
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\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell
}\pard \ltrpar\ql \li0\ri-
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$35.40\cell
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\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
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\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution\cell $14.83 \cell }\pard \ltrpar\ql
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in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
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\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $35.40\cell }\pard
\ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow3\irowband3\ltrrow
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\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
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214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
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106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
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\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Pension/concession}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
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\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
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\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
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\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
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\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
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\cellx8414\pard \ltrpar\ql \li0\ri-
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql \li0\ri-
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\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow5\irowband5\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
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\ql \li0\ri-
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $44.43 (sum of # - $5.80)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
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-45\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell }\pard \ltrpar\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$5.80\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row \ltrrow
}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
45\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
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\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
PBS Safety Net entitlement cardholder}{\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
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\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil
\cellx8414\row \ltrrow}\trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
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\cellx8414\pard \ltrpar\ql \li0\ri-
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\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Patient contribution\cell }\pard \ltrpar\ql \li0\ri-
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-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow9\irowband9\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Australian Government contribution
\cell $50.23 (sum of #)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-214
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
46\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin
-46\lin0\pararsid11288914 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Amount recordable on PBS Safety Net PRF\cell $0.00\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4271\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row }\pard
\ltrpar
\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8980134 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611 #Components that make up the dispensed
price.}{\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin0\lin0\itap0\pararsid8420321 {\rtlch\fcs1 \af37
\ltrch\fcs0 \insrsid6192611
In the approved public hospital and the section 94 private hospital
examples, the cost to the pharmacists include a wholesale mark-up of 11.1
per cent. When supplied in a community pharmacy, a wholesale mark-up of
7.52 per cent is included.}{\rtlch\fcs1
\af37 \ltrch\fcs0 \insrsid6192611\charrsid7080491
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\fs24\insrsid6192611
Example 12\emdash Section 100 HSD Private Hospital and Public
Hospital\emdash HSD mark-up }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0
\b\fs24\insrsid6192611\charrsid7080491
\par }\pard \ltrpar\ql
\li0\ri0\sl336\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjus
tright\rin0\lin0\itap0\pararsid9461962 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0
\b\insrsid6192611 Section 100 HSD Private Hospital }{\rtlch\fcs1 \ab\af37
\ltrch\fcs0
\b\insrsid6192611\charrsid7080491
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\pard \ltrpar\ql
\li0\ri-
46\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-46\lin0\pararsid15542370 {\rtlch\fcs1 \ab\af37\afs20
\ltrch\fcs0
\b\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Clozapine, tablet 25mg x 100 (Item 6101D)\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow0\irowband0\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth9242\clshdrawnil \cellx8414\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx112\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Cost \cell
}\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$4}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611 9.99}{\rtlch\fcs1
\af37\afs20 \ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
#\cell }\pard \ltrpar
\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-
214\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx112\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Mark-up ($4)\cell }\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$4.00#\cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0
\insrsid6192611\charrsid11288914 \trowd
\irow2\irowband2\ltrrow\ts11\trgaph108\trleft-214\trbrdrt\brdrs\brdrw10
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpa
ddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind-
106\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4786\clshdrawnil
\cellx4261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\cltxlrtb\clftsWidth3\clwWidth4456\clshdrawnil \cellx8414\row
\ltrrow}\pard \ltrpar
\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx112\wrapdefault\aspalpha\aspnum\faauto
\adjustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
Dispensing fee
\cell }\pard \ltrpar\ql \li0\ri-
45\sl250\slmult1\widctlpar\intbl\tx0\wrapdefault\aspalpha\aspnum\faauto\a
djustright\rin-45\lin0\pararsid15542370 {\rtlch\fcs1 \af37\afs20
\ltrch\fcs0
\fs20\lang3081\langfe3081\langfenp3081\insrsid6192611\charrsid15542370
$6.42# \cell }\pard \ltrpar\ql
\li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\r
in0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid6192611\charrsid11288914
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-214\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB