Document ID: chunk:federal_register_of_legislation:F2024C01116:schedule:1
Version: federal_register_of_legislation:F2024C01116
Segment Type: schedule
Provision Reference: sch 1
Character Range: 13741–16747

Schedule 1—Pharmaceutical benefits covered by this Special Arrangement and related information
(sections 5, 7 and 11)

Listed Drug                                                               Form                                                                       Manner of Administration  Brand                                     Responsible Person  Maximum Amount
Bisacodyl                                                                 Tablet, 5mg                                                                oral                      Lax‑Tab                                   AE                  400
                                                                          Suppositories 10mg, 10                                                     rectal                    Dulcolax                                  VZ                  9
                                                                                                                                                                               Petrus Bisacodyl Suppositories            PP                  9
                                                                          Suppositories 10mg, 12                                                     rectal                    Petrus Bisacodyl Suppositories            PP                  8
Macrogol 3350                                                             Sachets containing powder for oral solution 13.125g with electrolytes, 30  oral                      APOHEALTH Macrogol with Electrolytes      GX                  2
                                                                                                                                                                               APO‑MACROGOL plus ELECTROLYTES            TX                  2
                                                                                                                                                                               Chemists' Own Macrogol with Electrolytes  RW                  2
                                                                                                                                                                               Macrovic                                  RF                  2
                                                                                                                                                                               Molaxole                                  XT                  2
                                                                          Powder for oral solution 510g                                              oral                      OsmoLax                                   KY                  1
Sorbitol with sodium citrate dihydrate and sodium lauryl sulfoacetate     Enemas 3.125g‑450mg‑45mg in 5mL, 12                                        rectal                    Micolette                                 AE                  4