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
1269TMP	CYPROTERONE cyproterone acetate 50 mg tablet, 20 (PI, CMI)	1	20	5	$25.27	$26.67	$30.12
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza
	Pharmacor Cyproterone 50a

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
1270WMP	CYPROTERONE cyproterone acetate 50 mg tablet, 50 (PI, CMI)	2	100	5	$74.39	$31.60	$31.60
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza
	Pharmacor Cyproterone 50a
	Androcura * Additional charge for this brand is $1.96B	2	100	5	$76.35	$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
1270WMP	CYPROTERONE cyproterone acetate 50 mg tablet, 50 (PI, CMI)	2	100	5	$74.39	$31.60	$31.60
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza
	Pharmacor Cyproterone 50a
	Androcura * Additional charge for this brand is $1.96B	2	100	5	$76.35	$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
13925XMP	CYPROTERONE cyproterone acetate 50 mg tablet, 20 (PI, CMI)	2	40	5	$37.55	$31.60	$31.60
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza
	Pharmacor Cyproterone 50a

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
14022BMP	CYPROTERONE cyproterone acetate 100 mg tablet, 50 (PI, CMI)	2	100	5	$108.61	$31.60	$31.60
	Available brands
	ANTERONE 100a
	Cyproterone Sandoza
	Pharmacor Cyproterone 100a
	Androcur-100a * Additional charge for this brand is $2.42B	2	100	5	$111.03	$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
14022BMP	CYPROTERONE cyproterone acetate 100 mg tablet, 50 (PI, CMI)	2	100	5	$108.61	$31.60	$31.60
	Available brands
	ANTERONE 100a
	Cyproterone Sandoza
	Pharmacor Cyproterone 100a
	Androcur-100a * Additional charge for this brand is $2.42B	2	100	5	$111.03	$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
14023CMP	CYPROTERONE cyproterone acetate 50 mg tablet, 50 (PI, CMI)	4	200	5	$136.93	$31.60	$31.60
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza
	Pharmacor Cyproterone 50a
	Androcura * Additional charge for this brand is $4.12B	4	200	5	$141.05	$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
14023CMP	CYPROTERONE cyproterone acetate 50 mg tablet, 50 (PI, CMI)	4	200	5	$136.93	$31.60	$31.60
	Available brands
	ANTERONE 50a
	Cyproterone Sandoza
	Pharmacor Cyproterone 50a
	Androcura * Additional charge for this brand is $4.12B	4	200	5	$141.05	$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
8019CMP	CYPROTERONE cyproterone acetate 100 mg tablet, 50 (PI, CMI)	1	50	5	$60.80	$31.60	$31.60
	Available brands
	ANTERONE 100a
	Cyproterone Sandoza
	Pharmacor Cyproterone 100a
	Androcur-100a * Additional charge for this brand is $1.21B	1	50	5	$62.01	$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
8019CMP	CYPROTERONE cyproterone acetate 100 mg tablet, 50 (PI, CMI)	1	50	5	$60.80	$31.60	$31.60
	Available brands
	ANTERONE 100a
	Cyproterone Sandoza
	Pharmacor Cyproterone 100a
	Androcur-100a * Additional charge for this brand is $1.21B	1	50	5	$62.01	$31.60	$32.81