BUDESONIDE

BUDESONIDE (14331G)

budesonide 100 microgram/actuation powder for inhalation, 200 actuations
14331G
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $32.40 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Turbuhaler

BUDESONIDE (14438X)

budesonide 500 microgram/2 mL inhalation solution, 30 x 2 mL ampoules
14438X
Body System:
Manner of administration:Inhalation
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15578)

Indication: Severe chronic asthma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $162.68 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Respules

BUDESONIDE (14469M)

budesonide 1 mg/2 mL inhalation solution, 30 x 2 mL ampoules
14469M
Body System:
Manner of administration:Inhalation
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15578)

Indication: Severe chronic asthma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $162.68 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Respules

BUDESONIDE (14470N)

budesonide 400 microgram/actuation powder for inhalation, 200 actuations
14470N
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $57.18 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Turbuhaler

BUDESONIDE (14503H)

budesonide 200 microgram/actuation powder for inhalation, 200 actuations
14503H
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $46.72 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Turbuhaler

BUDESONIDE (2065Q)

budesonide 500 microgram/2 mL inhalation solution, 30 x 2 mL ampoules
2065Q
Body System:
Manner of administration:Inhalation
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6340)

Indication: Severe chronic asthma
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: 5 DPMQ: $87.37 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Respules

BUDESONIDE (2066R)

budesonide 1 mg/2 mL inhalation solution, 30 x 2 mL ampoules
2066R
Body System:
Manner of administration:Inhalation
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6340)

Indication: Severe chronic asthma
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: 5 DPMQ: $87.37 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Respules

BUDESONIDE (2070Y)

budesonide 100 microgram/actuation powder for inhalation, 200 actuations
2070Y
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
No restrictions
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: 5 DPMQ: $23.38 Max safety net: $24.92 General Patient Charge: $25.00
Available brands
Pulmicort Turbuhaler

BUDESONIDE (2071B)

budesonide 200 microgram/actuation powder for inhalation, 200 actuations
2071B
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
No restrictions
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: 5 DPMQ: $30.54 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Turbuhaler

BUDESONIDE (2072C)

budesonide 400 microgram/actuation powder for inhalation, 200 actuations
2072C
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
No restrictions
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: 5 DPMQ: $35.77 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Turbuhaler