FLUCONAZOLE

fluconazole 50 mg capsule, 28

FLUCONAZOLE (1471K)

fluconazole 50 mg capsule, 28
1471K
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction  15984

Indication: Cryptococcal meningitis

Restriction  15975

Indication: Cryptococcal meningitis

Restriction  6023

Indication: Oropharyngeal candidiasis

Restriction  6030

Indication: Oropharyngeal candidiasis

Restriction  5989

Indication: Oesophageal candidiasis

Restriction  16034

Indication: Fungal infection
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 5 DPMQ: $19.11 Max safety net: $20.59 General Patient Charge: $23.38
Available brands
Dizole 50
Fluconazole Sandoz
Ozole
Diflucan
*Additional charge for this brand is $7.63
 DPMQ: $26.74 Max safety net: $20.59 General Patient Charge: $31.01