Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
12138WMP	SILDENAFIL sildenafil 20 mg tablet, 90 (PI, CMI)	1	90	5	$145.22	$31.60	$31.60
	Available brands
	Revatioa
	SILDATIO PHTa
	Sildenafil PHT APOTEXa
	Sildenafil Sandoz PHT 20a

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
12144EMP	SILDENAFIL sildenafil 20 mg tablet, 90 (PI, CMI)	1	90	5	$131.30	$31.60	$31.60
	Available brands
	Revatioa
	SILDATIO PHTa
	Sildenafil PHT APOTEXa
	Sildenafil Sandoz PHT 20a

Source	Repatriation Pharmaceutical Benefits
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS

Authority Required

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
4584GMP	SILDENAFILR sildenafil 25 mg tablet, 4 (PI, CMI)
	Available brands
	Sildenafil APOTEXa	1	4	5	$57.41	$7.70	$7.70
	Sildenafil Sandoza	1	4	5	$57.41	$7.70	$7.70
	Vasafil 25a	1	4	5	$57.41	$7.70	$7.70
	Vedafila	1	4	5	$57.41	$7.70	$7.70
	Viagraa	1	4	5	$26.53	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS

Authority Required

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
4585HMP	SILDENAFILR sildenafil 50 mg tablet, 4 (PI, CMI)
	Available brands
	NOUMED Sildenafila	1	4	5	$69.41	$7.70	$7.70
	Sildenafil APOTEXa	1	4	5	$69.41	$7.70	$7.70
	Sildenafil Lupina	1	4	5	$30.10	$7.70	$7.70
	Sildenafil Sandoza	1	4	5	$69.41	$7.70	$7.70
	Vasafil 50a	1	4	5	$69.41	$7.70	$7.70
	Vedafila	1	4	5	$69.41	$7.70	$7.70
	Viagraa	1	4	5	$30.10	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS

Authority Required

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
4586JMP	SILDENAFILR sildenafil 100 mg tablet, 4 (PI, CMI)
	Available brands
	NOUMED Sildenafila	1	4	5	$73.98	$7.70	$7.70
	Sildenafil APOTEXa	1	4	5	$73.98	$7.70	$7.70
	Sildenafil Lupina	1	4	5	$33.46	$7.70	$7.70
	Sildenafil Sandoza	1	4	5	$73.98	$7.70	$7.70
	Vasafil 100a	1	4	5	$73.98	$7.70	$7.70
	Vedafila	1	4	5	$73.98	$7.70	$7.70
	Viagraa	1	4	5	$33.46	$7.70	$7.70

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
9547LMP	SILDENAFIL sildenafil 20 mg tablet, 90 (PI, CMI)	1	90	5	$131.30	$31.60	$31.60
	Available brands
	Revatioa
	SILDATIO PHTa
	Sildenafil PHT APOTEXa
	Sildenafil Sandoz PHT 20a

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
9605MMP	SILDENAFIL sildenafil 20 mg tablet, 90 (PI, CMI)	1	90	5	$145.22	$31.60	$31.60
	Available brands
	Revatioa
	SILDATIO PHTa
	Sildenafil PHT APOTEXa
	Sildenafil Sandoz PHT 20a