MOMETASONE

Source General Schedule
Body System DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN
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
10791YMPNP MOMETASONE
mometasone furoate 0.1% ointment, 15 g (PI, CMI)
10 10 5 $51.07 $31.60 $31.60
Available brands
Momasonea
Novasonea
Zatamila
Elocona
* Additional charge for this brand is $35.30B
10 10 5 $86.37 $31.60 $66.90
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MOMETASONE

Source General Schedule
Body System DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN
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
10793CMPNP MOMETASONE
mometasone furoate 0.1% ointment, 15 g (PI, CMI)
8 8 5 $43.55 $31.60 $31.60
Available brands
Momasonea
Novasonea
Zatamila
Elocona
* Additional charge for this brand is $28.24B
8 8 5 $71.79 $31.60 $59.84
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MOMETASONE

Source General Schedule
Body System DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN
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
10812CMPNP MOMETASONE
mometasone furoate 0.1% ointment, 15 g (PI, CMI)
2 2 5 $20.99 $22.44 $25.89
Available brands
Momasonea
Novasonea
Zatamila
Elocona
* Additional charge for this brand is $7.06B
2 2 5 $28.05 $22.44 $32.95
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MOMETASONE

Source General Schedule
Body System DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN
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
10814EMPNP MOMETASONE
mometasone furoate 0.1% ointment, 15 g (PI, CMI)
4 4 5 $28.51 $29.96 $31.60
Available brands
Momasonea
Novasonea
Zatamila
Elocona
* Additional charge for this brand is $14.12B
4 4 5 $42.63 $29.96 $45.72
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MOMETASONE

Source General Schedule
Body System DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN
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
10828XMPNP MOMETASONE
mometasone furoate 0.1% ointment, 15 g (PI, CMI)
6 6 5 $36.03 $31.60 $31.60
Available brands
Momasonea
Novasonea
Zatamila
Elocona
* Additional charge for this brand is $21.18B
6 6 5 $57.21 $31.60 $52.78
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MOMETASONE

Source General Schedule
Body System DERMATOLOGICALS > CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS > CORTICOSTEROIDS, PLAIN
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
1915TMPNP MOMETASONE
mometasone furoate 0.1% ointment, 15 g (PI, CMI)
1 1 0 $17.22 $18.67 $22.12
Available brands
Momasonea
Novasonea
Zatamila
Elocona
* Additional charge for this brand is $3.53B
1 1 0 $20.75 $18.67 $25.65
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner