MEDROXYPROGESTERONE
| Source | General Schedule |
| Body System | GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS |
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 13956MMPNP |
MEDROXYPROGESTERONE medroxyprogesterone acetate 5 mg tablet, 56 (PI, CMI) |
2 | 112 | 2 | $24.76 | $26.24 | $29.69 |
| Available brands | |||||||
| Raloveraa | |||||||
| Proveraa * Additional charge for this brand is
$9.16B
|
2 | 112 | 2 | $33.92 | $26.24 | $38.85 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions




