Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS AND ESTROGENS IN COMBINATION

Note

Restricted Benefit

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
13902QMPNP	ESTRADIOL + NORETHISTERONE ACETATE estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8 (PI, CMI)	2	2	5	$59.51	$31.60	$31.60
	Available brands
	Estalis continuous 50/140a

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS AND ESTROGENS IN COMBINATION

Note

Restricted Benefit

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
14336MMPNP	ESTRADIOL + NORETHISTERONE ACETATE estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8 (PI, CMI)	2	2	5	$56.01	$31.60	$31.60
	Available brands
	Estalis continuous 50/250a

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS AND ESTROGENS IN COMBINATION

Note

Restricted Benefit

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
14727DMPNP	ESTRADIOL + NORETHISTERONE ACETATE estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8 (PI, CMI)	2	2	5	$344.79	$31.60	$31.60
	Available brands
	ESTALIS 140/50 (Canada)a

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS AND ESTROGENS IN COMBINATION

Note

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
14728EMPNP	ESTRADIOL + NORETHISTERONE ACETATE estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$176.63	$31.60	$31.60
	Available brands
	ESTALIS 140/50 (Canada)a

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS AND ESTROGENS IN COMBINATION

Note

Restricted Benefit

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
14731HMPNP	ESTRADIOL + NORETHISTERONE ACETATE estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8 (PI, CMI)	2	2	5	$344.79	$31.60	$31.60
	Available brands
	ESTALIS 250/50 (Canada)a

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS AND ESTROGENS IN COMBINATION

Note

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
14739RMPNP	ESTRADIOL + NORETHISTERONE ACETATE estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$176.63	$31.60	$31.60
	Available brands
	ESTALIS 250/50 (Canada)a

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS AND ESTROGENS IN COMBINATION

Note

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
8427MMPNP	ESTRADIOL + NORETHISTERONE ACETATE estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$36.48	$31.60	$31.60
	Available brands
	Estalis continuous 50/140a

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS AND ESTROGENS IN COMBINATION

Note

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
8428NMPNP	ESTRADIOL + NORETHISTERONE ACETATE estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$34.73	$31.60	$31.60
	Available brands
	Estalis continuous 50/250a