MEDROXYPROGESTERONE
Source | General Schedule |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONES AND RELATED AGENTS |
|
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 |
---|---|---|---|---|---|---|---|
2316XMP | MEDROXYPROGESTERONE medroxyprogesterone acetate 200 mg tablet, 60 (PI, CMI) |
1 | 60 | 2 | $80.43 | $30.00 | $30.00 |
Available brands | |||||||
Provera |
MEDROXYPROGESTERONE
Source | General Schedule |
Body System | GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS |
|
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 |
---|---|---|---|---|---|---|---|
2321EMPNP | MEDROXYPROGESTERONE medroxyprogesterone acetate 10 mg tablet, 30 (PI, CMI) |
1 | 30 | 2 | $19.01 | $20.32 | $23.61 |
Available brands | |||||||
Raloveraa | |||||||
Proveraa * Additional charge for this brand is
$6.70B
|
1 | 30 | 2 | $25.71 | $20.32 | $30.31 |
MEDROXYPROGESTERONE
Source | General Schedule |
Body System | GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS |
|
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 |
---|---|---|---|---|---|---|---|
2323GMPNP | MEDROXYPROGESTERONE medroxyprogesterone acetate 5 mg tablet, 56 (PI, CMI) |
1 | 56 | 2 | $17.65 | $18.96 | $22.25 |
Available brands | |||||||
Raloveraa | |||||||
Proveraa * Additional charge for this brand is
$4.55B
|
1 | 56 | 2 | $22.20 | $18.96 | $26.80 |
MEDROXYPROGESTERONE
Source | General Schedule |
Body System | GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > PROGESTOGENS |
|
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 |
---|---|---|---|---|---|---|---|
2722GMP | MEDROXYPROGESTERONE medroxyprogesterone acetate 10 mg tablet, 100 (PI, CMI) |
1 | 100 | 2 | $35.04 | $30.00 | $30.00 |
Available brands | |||||||
Raloveraa | |||||||
Proveraa * Additional charge for this brand is
$6.70B
|
1 | 100 | 2 | $41.74 | $30.00 | $36.70 |
MEDROXYPROGESTERONE
Source | General Schedule |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONES AND RELATED AGENTS |
|
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 |
---|---|---|---|---|---|---|---|
2725KMP | MEDROXYPROGESTERONE medroxyprogesterone acetate 100 mg tablet, 100 (PI, CMI) |
1 | 100 | 2 | $72.17 | $30.00 | $30.00 |
Available brands | |||||||
Provera |
MEDROXYPROGESTERONE
Source | General Schedule |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONES AND RELATED AGENTS |
|
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 |
---|---|---|---|---|---|---|---|
2727MMP | MEDROXYPROGESTERONE medroxyprogesterone acetate 250 mg tablet, 60 (PI, CMI) |
1 | 60 | 2 | $97.84 | $30.00 | $30.00 |
Available brands | |||||||
Provera |
MEDROXYPROGESTERONE
Source | General Schedule |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONES AND RELATED AGENTS |
|
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 |
---|---|---|---|---|---|---|---|
2728NMP | MEDROXYPROGESTERONE medroxyprogesterone acetate 500 mg tablet, 30 (PI, CMI) |
1 | 30 | 2 | $97.84 | $30.00 | $30.00 |
Available brands | |||||||
Provera |
MEDROXYPROGESTERONE
Source | General Schedule |
Body System | GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > HORMONAL CONTRACEPTIVES FOR SYSTEMIC USE |
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 |
---|---|---|---|---|---|---|---|
3118DMPNP | MEDROXYPROGESTERONE medroxyprogesterone acetate 150 mg/mL injection, 1 mL vial (PI, CMI) |
1 | 1 | 1 | $26.27 | $27.58 | $30.00 |
Available brands | |||||||
Depo-Raloveraa | |||||||
Depo-Proveraa * Additional charge for this brand is
$7.00B
|
1 | 1 | 1 | $33.27 | $27.58 | $37.00 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner