FLUCONAZOLE

fluconazole 200 mg capsule, 28

FLUCONAZOLE (1475P)

fluconazole 200 mg capsule, 28
1475P
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: $33.81 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Fluconazole
Dizole 200
FLUCONAZOLE-WGR
Fluconazole Sandoz
Fluzole 200
Ozole
Diflucan
*Additional charge for this brand is $16.16
 DPMQ: $49.97 Max safety net: $25.00 General Patient Charge: $41.16