FUROSEMIDE

FUROSEMIDE (13504R)

furosemide 10 mg/mL oral liquid, 30 mL
13504R
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: 2 # of repeats: 3 DPMQ: $68.18 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lasix

FUROSEMIDE (2411X)

furosemide 10 mg/mL oral liquid, 30 mL
2411X
Body System:
Manner of administration:Oral
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: 3 DPMQ: $41.27 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lasix

FUROSEMIDE (2413B)

furosemide 20 mg/2 mL injection, 5 x 2 mL ampoules
2413B
Body System:
Manner of administration:Injection
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: 5 # of repeats: 0 DPMQ: $17.47 Max safety net: $19.01 General Patient Charge: $21.80
Available brands
Lasix

FUROSEMIDE (3466K)

furosemide 20 mg/2 mL injection, 5 x 2 mL ampoules
3466K
Body System:
Manner of administration:Injection
Prescriber Bag
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: 5 # of repeats: 0 DPMQ: $17.47 Max safety net: $0.00 General Patient Charge: Nil
Available brands
Lasix