Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

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
13939PMPNP	LETROZOLE letrozole 2.5 mg tablet, 30 (PI, CMI)	2	60	5	$34.37	$31.60	$31.60
	Available brands
	ARX-LETROZOLEa
	Femoleta
	Gynotrila
	LETROZOLE-WGRa
	Letrozole APOTEXa
	Letrozole GHa
	Letrozole Sandoza
	Pharmacor Letrozole 2.5a
	Femara 2.5 mga * Additional charge for this brand is $5.28B	2	60	5	$39.65	$31.60	$36.88

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

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
8245YMPNP	LETROZOLE letrozole 2.5 mg tablet, 30 (PI, CMI)	1	30	5	$23.91	$25.36	$28.81
	Available brands
	ARX-LETROZOLEa
	Femoleta
	Gynotrila
	LETROZOLE-WGRa
	Letrozole APOTEXa
	Letrozole GHa
	Letrozole Sandoza
	Pharmacor Letrozole 2.5a
	Femara 2.5 mga * Additional charge for this brand is $2.64B	1	30	5	$26.55	$25.36	$31.45