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 |
---|---|---|---|---|---|---|---|
10792BMPNP | MOMETASONE mometasone furoate 0.1% cream, 15 g (PI, CMI) |
10 | 10 | 5 | $50.57 | $30.00 | $30.00 |
Available brands | |||||||
Momasone Alcohol Freea | |||||||
Novasonea | |||||||
Elocon Alcohol Freea * Additional charge for this brand is
$35.30B
|
10 | 10 | 5 | $85.87 | $30.00 | $65.30 |
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 |
---|---|---|---|---|---|---|---|
10809XMPNP | MOMETASONE mometasone furoate 0.1% cream, 15 g (PI, CMI) |
4 | 4 | 5 | $28.05 | $29.45 | $30.00 |
Available brands | |||||||
Momasone Alcohol Freea | |||||||
Novasonea | |||||||
Elocon Alcohol Freea * Additional charge for this brand is
$14.12B
|
4 | 4 | 5 | $42.17 | $29.45 | $44.12 |
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 |
---|---|---|---|---|---|---|---|
10815FMPNP | MOMETASONE mometasone furoate 0.1% cream, 15 g (PI, CMI) |
6 | 6 | 5 | $35.55 | $30.00 | $30.00 |
Available brands | |||||||
Momasone Alcohol Freea | |||||||
Novasonea | |||||||
Elocon Alcohol Freea * Additional charge for this brand is
$21.18B
|
6 | 6 | 5 | $56.73 | $30.00 | $51.18 |
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 |
---|---|---|---|---|---|---|---|
10818JMPNP | MOMETASONE mometasone furoate 0.1% cream, 15 g (PI, CMI) |
8 | 8 | 5 | $43.09 | $30.00 | $30.00 |
Available brands | |||||||
Momasone Alcohol Freea | |||||||
Novasonea | |||||||
Elocon Alcohol Freea * Additional charge for this brand is
$28.24B
|
8 | 8 | 5 | $71.33 | $30.00 | $58.24 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner