Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

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
10203BMPNP	ESTRADIOL estradiol 10 microgram modified release pessary, 18 (PI, CMI)	1	18	2	$30.35	$31.60	$31.60
	Available brands
	Estro-Pessa
	Vagifem Lowa

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

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
13872DMPNP	ESTRADIOL estradiol valerate 1 mg tablet, 56 (PI, CMI)	2	112	2	$20.06	$21.54	$24.99
	Available brands
	Progynova

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

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
13931FMPNP	ESTRADIOL estradiol 2 mg tablet, 56 (PI, CMI)	2	112	2	$26.20	$27.68	$31.13
	Available brands
	Zumenon

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

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
13978QMPNP	ESTRADIOL estradiol 10 microgram modified release pessary, 18 (PI, CMI)	2	36	2	$46.92	$31.60	$31.60
	Available brands
	Estro-Pessa
	Vagifem Lowa

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

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
13980TMPNP	ESTRADIOL estradiol valerate 2 mg tablet, 56 (PI, CMI)	2	112	2	$22.70	$24.18	$27.63
	Available brands
	Progynova

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

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
14026FMPNP	ESTRADIOL estradiol 0.1% (1 mg/g) gel, 28 x 1 g sachets (PI, CMI)	2	2	5	$38.14	$31.60	$31.60
	Available brands
	Sandrena

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

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
1663MMPNP	ESTRADIOL estradiol valerate 1 mg tablet, 56 (PI, CMI)	1	56	2	$16.92	$18.40	$21.85
	Available brands
	Progynova

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

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
1664NMPNP	ESTRADIOL estradiol valerate 2 mg tablet, 56 (PI, CMI)	1	56	2	$18.24	$19.72	$23.17
	Available brands
	Progynova

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

Note

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
8140KMPNP	ESTRADIOL estradiol 50 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$25.32	$26.80	$30.25
	Available brands
	Estraderm MX 50

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

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
8274LMPNP	ESTRADIOL estradiol 2 mg tablet, 56 (PI, CMI)	1	56	2	$19.99	$21.47	$24.92
	Available brands
	Zumenon

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

Note

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
8286DMPNP	ESTRADIOL estradiol 0.1% (1 mg/g) gel, 28 x 1 g sachets (PI, CMI)	1	1	5	$25.96	$27.44	$30.89
	Available brands
	Sandrena

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

Note

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
8311KMPNP	ESTRADIOL estradiol 25 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$25.32	$26.80	$30.25
	Available brands
	Estraderm MX 25

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

Note

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
8312LMPNP	ESTRADIOL estradiol 100 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$27.15	$28.63	$31.60
	Available brands
	Estraderm MX 100

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

Note

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
8761DMPNP	ESTRADIOL estradiol 25 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$31.31	$31.60	$31.60
	Available brands
	Estradot 25

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

Note

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
8762EMPNP	ESTRADIOL estradiol 37.5 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$30.61	$31.60	$31.60
	Available brands
	Estradot 37.5

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

Note

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
8763FMPNP	ESTRADIOL estradiol 50 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$30.46	$31.60	$31.60
	Available brands
	Estradot 50

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

Note

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
8764GMPNP	ESTRADIOL estradiol 75 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$31.91	$31.60	$31.60
	Available brands
	Estradot 75

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ESTROGENS

Note

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
8765HMPNP	ESTRADIOL estradiol 100 microgram/24 hours patch, 8 (PI, CMI)	1	1	5	$31.21	$31.60	$31.60
	Available brands
	Estradot 100