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
10791YMPNP MOMETASONE
mometasone furoate 0.1% ointment, 15 g (PI, CMI)
10 10 5 $50.57 $30.00 $30.00
Available brands
Momasonea
Novasonea
Zatamila
Elocona
* Additional charge for this brand is $35.30B
10 10 5 $85.87 $30.00 $65.30
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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
10793CMPNP MOMETASONE
mometasone furoate 0.1% ointment, 15 g (PI, CMI)
8 8 5 $43.09 $30.00 $30.00
Available brands
Momasonea
Novasonea
Zatamila
Elocona
* Additional charge for this brand is $28.24B
8 8 5 $71.33 $30.00 $58.24
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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
10812CMPNP MOMETASONE
mometasone furoate 0.1% ointment, 15 g (PI, CMI)
2 2 5 $20.51 $21.91 $25.20
Available brands
Momasonea
Novasonea
Zatamila
Elocona
* Additional charge for this brand is $7.06B
2 2 5 $27.57 $21.91 $32.26
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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
10814EMPNP MOMETASONE
mometasone furoate 0.1% ointment, 15 g (PI, CMI)
4 4 5 $28.05 $29.45 $30.00
Available brands
Momasonea
Novasonea
Zatamila
Elocona
* Additional charge for this brand is $14.12B
4 4 5 $42.17 $29.45 $44.12
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner