LEVODOPA + BENSERAZIDE

LEVODOPA + BENSERAZIDE (14356N)

levodopa 50 mg + benserazide 12.5 mg dispersible tablet, 100
14356N
Body System:
Manner of administration:Oral
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: 200 # of repeats: 5 DPMQ: $37.08 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Madopar Rapid 62.5

LEVODOPA + BENSERAZIDE (14387F)

levodopa 100 mg + benserazide 25 mg capsule, 100
14387F
Body System:
Manner of administration:Oral
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: 200 # of repeats: 5 DPMQ: $45.54 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Madopar 125

LEVODOPA + BENSERAZIDE (14388G)

levodopa 50 mg + benserazide 12.5 mg capsule, 100
14388G
Body System:
Manner of administration:Oral
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: 200 # of repeats: 5 DPMQ: $37.08 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Madopar 62.5

LEVODOPA + BENSERAZIDE (14428J)

levodopa 200 mg + benserazide 50 mg tablet, 100
14428J
Body System:
Manner of administration:Oral
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: 200 # of repeats: 5 DPMQ: $64.86 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Madopar

LEVODOPA + BENSERAZIDE (14455T)

levodopa 100 mg + benserazide 25 mg tablet, 100
14455T
Body System:
Manner of administration:Oral
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: 200 # of repeats: 5 DPMQ: $45.54 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Madopar 125

LEVODOPA + BENSERAZIDE (14525L)

levodopa 100 mg + benserazide 25 mg modified release capsule, 100
14525L
Body System:
Manner of administration:Oral
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: 200 # of repeats: 5 DPMQ: $52.46 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Madopar HBS

LEVODOPA + BENSERAZIDE (14551W)

levodopa 200 mg + benserazide 50 mg capsule, 100
14551W
Body System:
Manner of administration:Oral
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: 200 # of repeats: 5 DPMQ: $64.86 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Madopar

LEVODOPA + BENSERAZIDE (14552X)

levodopa 100 mg + benserazide 25 mg dispersible tablet, 100
14552X
Body System:
Manner of administration:Oral
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: 200 # of repeats: 5 DPMQ: $56.66 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Madopar Rapid 125

LEVODOPA + BENSERAZIDE (2225D)

levodopa 100 mg + benserazide 25 mg capsule, 100
2225D
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 5 DPMQ: $29.95 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Madopar 125

LEVODOPA + BENSERAZIDE (2226E)

levodopa 200 mg + benserazide 50 mg capsule, 100
2226E
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 5 DPMQ: $39.61 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Madopar