IMIQUIMOD

imiquimod 5% cream, 12 x 250 mg sachets

IMIQUIMOD (2546B)

imiquimod 5% cream, 12 x 250 mg sachets
2546B
Body System:
Manner of administration:Application
General Schedule
Authority Required

Restriction

Indication: Superficial basal cell carcinoma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 1 DPMQ: $87.63 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Imiquimod
Aldara
*Additional charge for this brand is $3.20
 DPMQ: $90.83 Max safety net: $25.00 General Patient Charge: $28.20