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 |
---|---|---|---|---|---|---|---|
10804PMPNP | MOMETASONE mometasone furoate 0.1% lotion, 30 mL (PI, CMI) |
5 | 5 | 5 | $38.27 | $30.00 | $30.00 |
Available brands | |||||||
Novasonea | |||||||
Zatamila | |||||||
Elocona * Additional charge for this brand is
$17.65B
|
5 | 5 | 5 | $55.92 | $30.00 | $47.65 |
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 |
---|---|---|---|---|---|---|---|
10805QMPNP | MOMETASONE mometasone furoate 0.1% lotion, 30 mL (PI, CMI) |
4 | 4 | 5 | $33.06 | $30.00 | $30.00 |
Available brands | |||||||
Novasonea | |||||||
Zatamila | |||||||
Elocona * Additional charge for this brand is
$14.12B
|
4 | 4 | 5 | $47.18 | $30.00 | $44.12 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner