MEDROXYPROGESTERONE
Source | General Schedule |
Body System | GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS |
|
|
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 |
---|---|---|---|---|---|---|---|
13956MMPNP |
MEDROXYPROGESTERONE medroxyprogesterone acetate 5 mg tablet, 56 (PI, CMI) |
2 | 112 | 2 | $24.43 | $25.88 | $29.33 |
Available brands | |||||||
Raloveraa | |||||||
Proveraa * Additional charge for this brand is
$9.16B
|
2 | 112 | 2 | $33.59 | $25.88 | $38.49 |
MEDROXYPROGESTERONE
Source | General Schedule |
Body System | GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS |
|
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 |
---|---|---|---|---|---|---|---|
2323GMPNP | MEDROXYPROGESTERONE medroxyprogesterone acetate 5 mg tablet, 56 (PI, CMI) |
1 | 56 | 2 | $18.94 | $20.39 | $23.84 |
Available brands | |||||||
Raloveraa | |||||||
Proveraa * Additional charge for this brand is
$4.58B
|
1 | 56 | 2 | $23.52 | $20.39 | $28.42 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions