BISACODYL

Source Repatriation Pharmaceutical Benefits
Body System ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10578RMP BISACODYLR
bisacodyl 10 mg suppository, 10 (PI, CMI)
Available brands
Dulcolaxa 3 3 5 $27.39 $7.70 $7.70
Petrus Bisacodyl Suppositoriesa 3 3 5 $26.10 $7.70 $7.70
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BISACODYL

Source Repatriation Pharmaceutical Benefits
Body System ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10580WMP BISACODYLR
bisacodyl 10 mg suppository, 12 (PI, CMI)
Available brands
Petrus Bisacodyl Suppositories 3 3 4 $24.75 $7.70 $7.70
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BISACODYL

Source General Schedule
Body System ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1258FMPNP BISACODYL
bisacodyl 10 mg suppository, 12 (PI, CMI)
3 3 4 $24.75 $26.20 $29.65
Available brands
Petrus Bisacodyl Suppositories
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BISACODYL

Source General Schedule
Body System ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1260HMPNP BISACODYL
bisacodyl 10 mg suppository, 10 (PI, CMI)
3 3 5 $26.10 $27.55 $31.00
Available brands
Petrus Bisacodyl Suppositoriesa
Dulcolaxa
* Additional charge for this brand is $1.29B
3 3 5 $27.39 $27.55 $32.29
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BISACODYL

Source General Schedule
Body System ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14305XMPNP
BISACODYL
bisacodyl 10 mg suppository, 12 (PI, CMI)
6 6 4 $36.03 $31.60 $31.60
Available brands
Petrus Bisacodyl Suppositories
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BISACODYL

Source General Schedule
Body System ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14447JMPNP
BISACODYL
bisacodyl 10 mg suppository, 10 (PI, CMI)
6 6 5 $38.73 $31.60 $31.60
Available brands
Petrus Bisacodyl Suppositoriesa
Dulcolaxa
* Additional charge for this brand is $2.58B
6 6 5 $41.31 $31.60 $34.18
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BISACODYL

Source Repatriation Pharmaceutical Benefits
Body System ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14567QMP
BISACODYLR
bisacodyl 10 mg suppository, 10 (PI, CMI)
Available brands
Dulcolaxa 6 6 5 $41.31 $7.70 $7.70
Petrus Bisacodyl Suppositoriesa 6 6 5 $38.73 $7.70 $7.70
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BISACODYL

Source Repatriation Pharmaceutical Benefits
Body System ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14572YMP
BISACODYLR
bisacodyl 10 mg suppository, 12 (PI, CMI)
Available brands
Petrus Bisacodyl Suppositories 6 6 4 $36.03 $7.70 $7.70
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  • Legend
  • RRepatriation Care items
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions