Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ANTIANDROGENS

Caution

Authority Required (STREAMLINED)

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
1269TMPNP	CYPROTERONE cyproterone acetate 50 mg tablet, 20 (PI, CMI)	1	20	5	$26.07	$27.55	$31.00
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

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
1270WMPNP	CYPROTERONE cyproterone acetate 50 mg tablet, 50 (PI, CMI)	2	100	5	$75.20	$31.60	$31.60
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza
	Androcura * Additional charge for this brand is $1.96B	2	100	5	$77.16	$31.60	$33.56

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ANTIANDROGENS

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
1270WMPNP	CYPROTERONE cyproterone acetate 50 mg tablet, 50 (PI, CMI)	2	100	5	$75.20	$31.60	$31.60
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza
	Androcura * Additional charge for this brand is $1.96B	2	100	5	$77.16	$31.60	$33.56

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ANTIANDROGENS

Caution

Authority Required (STREAMLINED)

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
13925XMPNP	CYPROTERONE cyproterone acetate 50 mg tablet, 20 (PI, CMI)	2	40	5	$38.36	$31.60	$31.60
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

Restricted Benefit

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
14022BMPNP	CYPROTERONE cyproterone acetate 100 mg tablet, 50 (PI, CMI)	2	100	5	$109.42	$31.60	$31.60
	Available brands
	ANTERONE 100a
	Cyproterone Sandoza
	Androcur-100a * Additional charge for this brand is $2.42B	2	100	5	$111.84	$31.60	$34.02

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ANTIANDROGENS

Restricted Benefit

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
14022BMPNP	CYPROTERONE cyproterone acetate 100 mg tablet, 50 (PI, CMI)	2	100	5	$109.42	$31.60	$31.60
	Available brands
	ANTERONE 100a
	Cyproterone Sandoza
	Androcur-100a * Additional charge for this brand is $2.42B	2	100	5	$111.84	$31.60	$34.02

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

Restricted Benefit

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
14023CMPNP	CYPROTERONE cyproterone acetate 50 mg tablet, 50 (PI, CMI)	4	200	5	$137.72	$31.60	$31.60
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza
	Androcura * Additional charge for this brand is $4.12B	4	200	5	$141.84	$31.60	$35.72

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ANTIANDROGENS

Restricted Benefit

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
14023CMPNP	CYPROTERONE cyproterone acetate 50 mg tablet, 50 (PI, CMI)	4	200	5	$137.72	$31.60	$31.60
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza
	Androcura * Additional charge for this brand is $4.12B	4	200	5	$141.84	$31.60	$35.72

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

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
8019CMPNP	CYPROTERONE cyproterone acetate 100 mg tablet, 50 (PI, CMI)	1	50	5	$61.60	$31.60	$31.60
	Available brands
	ANTERONE 100a
	Cyproterone Sandoza
	Androcur-100a * Additional charge for this brand is $1.21B	1	50	5	$62.81	$31.60	$32.81

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > ANTIANDROGENS

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
8019CMPNP	CYPROTERONE cyproterone acetate 100 mg tablet, 50 (PI, CMI)	1	50	5	$61.60	$31.60	$31.60
	Available brands
	ANTERONE 100a
	Cyproterone Sandoza
	Androcur-100a * Additional charge for this brand is $1.21B	1	50	5	$62.81	$31.60	$32.81