BOSENTAN

bosentan 125 mg tablet, 60

BOSENTAN (12149K)

bosentan 125 mg tablet, 60
12149K
Manner of administration:Oral
Public
S100 HSD Public
Authority Required

Restriction

Indication: Pulmonary arterial hypertension (PAH)
Treatment phase: Initial 1 - combination therapy (dual or triple therapy, excluding selexipag) in an untreated patient

Restriction

Indication: Pulmonary arterial hypertension (PAH)
Treatment phase: Initial 2 - starting combination therapy (dual or triple therapy, excluding selexipag) in a treated patient where a diagnosis of pulmonary arterial hypertension is established through a prior PBS authority application

Restriction

Indication: Pulmonary arterial hypertension (PAH)
Treatment phase: Initial 3 - changing to this drug in combination therapy (dual or triple therapy)

Restriction

Indication: Pulmonary arterial hypertension (PAH)
Treatment phase: Continuing treatment of combination therapy (dual or triple therapy, excluding selexipag)

Restriction

Indication: Pulmonary arterial hypertension (PAH)
Treatment phase: Triple therapy - Initial treatment or continuing treatment of triple combination therapy (including dual therapy in lieu of triple therapy) that includes selexipag
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 60 # of repeats: 5 DPMQ: $117.53 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
BOSENTAN DR.REDDY'S
Bosentan APO
Bosentan GH
Bosentan RBX
Bosentan Viatris