MOMETASONE
Source | General Schedule |
Body System | DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN |
|
|
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 |
---|---|---|---|---|---|---|---|
1913QMPNP | MOMETASONE mometasone furoate 0.1% cream, 15 g (PI, CMI) |
1 | 1 | 0 | $16.75 | $18.15 | $21.60 |
Available brands | |||||||
Momasone Alcohol Freea | |||||||
Novasonea | |||||||
Elocon Alcohol Freea * Additional charge for this brand is
$3.53B
|
1 | 1 | 0 | $20.28 | $18.15 | $25.13 |
MOMETASONE
Source | General Schedule |
Body System | DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN |
|
|
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 |
---|---|---|---|---|---|---|---|
1915TMPNP | MOMETASONE mometasone furoate 0.1% ointment, 15 g (PI, CMI) |
1 | 1 | 0 | $16.75 | $18.15 | $21.60 |
Available brands | |||||||
Momasonea | |||||||
Novasonea | |||||||
Zatamila | |||||||
Elocona * Additional charge for this brand is
$3.53B
|
1 | 1 | 0 | $20.28 | $18.15 | $25.13 |
MOMETASONE
Source | Repatriation Pharmaceutical Benefits |
Body System | DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN |
|
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 |
---|---|---|---|---|---|---|---|
4342MMP | MOMETASONER mometasone furoate 0.1% cream, 50 g (PI, CMI) |
||||||
Available brands | |||||||
Elocon Alcohol Free | 1 | 1 | 0 | $36.52 | $7.70 | $7.70 |
MOMETASONE
Source | Repatriation Pharmaceutical Benefits |
Body System | DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN |
|
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 |
---|---|---|---|---|---|---|---|
4343NMP | MOMETASONER mometasone furoate 0.1% ointment, 50 g (PI, CMI) |
||||||
Available brands | |||||||
Elocon | 1 | 1 | 0 | $36.52 | $7.70 | $7.70 |
MOMETASONE
Source | General Schedule |
Body System | DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN |
|
|
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 |
---|---|---|---|---|---|---|---|
8043HMPNP | MOMETASONE mometasone furoate 0.1% lotion, 30 mL (PI, CMI) |
1 | 1 | 0 | $18.22 | $19.62 | $23.07 |
Available brands | |||||||
Novasonea | |||||||
Zatamila | |||||||
Elocona * Additional charge for this brand is
$3.53B
|
1 | 1 | 0 | $21.75 | $19.62 | $26.60 |
- Legend
- RRepatriation Care items
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner