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 $49.72 $42.50 $42.50
Available brands
Momasone Alcohol Freea
Novasonea
Elocon Alcohol Freea
* Additional charge for this brand is $35.30B
10 10 5 $85.02 $42.50 $77.80
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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
10809XMPNP MOMETASONE
mometasone furoate 0.1% cream, 15 g (PI, CMI)
4 4 5 $27.18 $28.49 $33.03
Available brands
Momasone Alcohol Freea
Novasonea
Elocon Alcohol Freea
* Additional charge for this brand is $14.12B
4 4 5 $41.30 $28.49 $47.15
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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
10815FMPNP MOMETASONE
mometasone furoate 0.1% cream, 15 g (PI, CMI)
6 6 5 $34.70 $36.01 $40.55
Available brands
Momasone Alcohol Freea
Novasonea
Elocon Alcohol Freea
* Additional charge for this brand is $21.18B
6 6 5 $55.88 $36.01 $61.73
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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
10818JMPNP MOMETASONE
mometasone furoate 0.1% cream, 15 g (PI, CMI)
8 8 5 $42.22 $42.50 $42.50
Available brands
Momasone Alcohol Freea
Novasonea
Elocon Alcohol Freea
* Additional charge for this brand is $28.24B
8 8 5 $70.46 $42.50 $70.74
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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
10827WMPNP MOMETASONE
mometasone furoate 0.1% cream, 15 g (PI, CMI)
2 2 5 $19.66 $20.97 $25.51
Available brands
Momasone Alcohol Freea
Novasonea
Elocon Alcohol Freea
* Additional charge for this brand is $7.06B
2 2 5 $26.72 $20.97 $32.57
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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
1913QMPNP MOMETASONE
mometasone furoate 0.1% cream, 15 g (PI, CMI)
1 1 0 $15.90 $17.21 $21.75
Available brands
Momasone Alcohol Freea
Novasonea
Elocon Alcohol Freea
* Additional charge for this brand is $3.53B
1 1 0 $19.43 $17.21 $25.28
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner