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

Note

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
14719QMPNP	ESTRADIOL estradiol 0.06% (750 microgram/actuation) gel, 64 actuations (PI, CMI)	1	1	5	$36.54	$31.60	$31.60
	Available brands
	Estrogel

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS AND ESTROGENS IN COMBINATION

Note

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
14720RMPNP	PROGESTERONE (&) ESTRADIOL progesterone 100 mg capsule [30] (&) estradiol 0.06% (750 microgram/actuation) gel [64 actuations], 1 pack (PI, CMI)	2	2	5	$104.32	$31.60	$31.60
	Available brands
	Estrogel Pro

Source	General Schedule
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS AND ESTROGENS IN COMBINATION

Note

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
14721TMPNP	PROGESTERONE (&) ESTRADIOL progesterone 100 mg capsule [30] (&) estradiol 0.06% (750 microgram/actuation) gel [64 actuations], 1 pack (PI, CMI)	1	1	5	$59.05	$31.60	$31.60
	Available brands
	Estrogel Pro

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

Note

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
14730GMPNP	PROGESTERONE progesterone 100 mg capsule, 30 (PI, CMI)	1	30	5	$43.84	$31.60	$31.60
	Available brands
	Prometrium

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

Note

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
14733KMPNP	PROGESTERONE progesterone 100 mg capsule, 30 (PI, CMI)	2	60	5	$73.90	$31.60	$31.60
	Available brands
	Prometrium

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

Note

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
14741WMPNP	ESTRADIOL estradiol 0.06% (750 microgram/actuation) gel, 64 actuations (PI, CMI)	2	2	5	$59.30	$31.60	$31.60
	Available brands
	Estrogel