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