SILDENAFIL

Source Repatriation Pharmaceutical Benefits
Body System GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS
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
4584GMP SILDENAFILR
sildenafil 25 mg tablet, 4 (PI, CMI)
Available brands
APO-Sildenafila 1 4 5 $55.98 $6.60 $6.60
Sildenafil Actavisa 1 4 5 $55.97 $6.60 $6.60
Sildenafil APOTEXa 1 4 5 $55.97 $6.60 $6.60
Sildenafil Sandoza 1 4 5 $55.97 $6.60 $6.60
Vasafil 25a 1 4 5 $55.97 $6.60 $6.60
Vedafila 1 4 5 $55.97 $6.60 $6.60
Viagraa 1 4 5 $64.35 $6.60 $6.60
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SILDENAFIL

Source Repatriation Pharmaceutical Benefits
Body System GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS
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
4585HMP SILDENAFILR
sildenafil 50 mg tablet, 4 (PI, CMI)
Available brands
APO-Sildenafila 1 4 5 $67.97 $6.60 $6.60
Sildenafil Actavisa 1 4 5 $67.97 $6.60 $6.60
Sildenafil APOTEXa 1 4 5 $67.97 $6.60 $6.60
Sildenafil Sandoza 1 4 5 $67.97 $6.60 $6.60
Vasafil 50a 1 4 5 $67.97 $6.60 $6.60
Vedafila 1 4 5 $67.97 $6.60 $6.60
Viagraa 1 4 5 $78.63 $6.60 $6.60
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SILDENAFIL

Source Repatriation Pharmaceutical Benefits
Body System GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS
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
4586JMP SILDENAFILR
sildenafil 100 mg tablet, 4 (PI, CMI)
Available brands
APO-Sildenafila 1 4 5 $72.54 $6.60 $6.60
Chem mart Sildenafila 1 4 5 $72.54 $6.60 $6.60
Sildenafil Actavisa 1 4 5 $72.54 $6.60 $6.60
Sildenafil APOTEXa 1 4 5 $72.54 $6.60 $6.60
Sildenafil generichealtha 1 4 5 $72.54 $6.60 $6.60
Sildenafil Sandoza 1 4 5 $72.54 $6.60 $6.60
Terry White Chemists Sildenafila 1 4 5 $72.54 $6.60 $6.60
Vasafil 100a 1 4 5 $72.54 $6.60 $6.60
Vedafila 1 4 5 $72.54 $6.60 $6.60
Viagraa 1 4 5 $84.07 $6.60 $6.60
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SILDENAFIL

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
9547LMP SILDENAFIL
sildenafil 20 mg tablet, 90 (PI, CMI)
1 90 0 $254.31 $41.00 $41.00
Available brands
APO-Sildenafil PHTa
Revatioa
SILDATIO PHTa
Sildenafil AN PHT 20a
Sildenafil Sandoz PHT 20a
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SILDENAFIL

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
9605MMP SILDENAFIL
sildenafil 20 mg tablet, 90 (PI, CMI)
1 90 0 $272.22 $41.00 $41.00
Available brands
APO-Sildenafil PHTa
Revatioa
SILDATIO PHTa
Sildenafil AN PHT 20a
Sildenafil Sandoz PHT 20a
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  • Legend
  • RRepatriation Care items
  • aBrand equivalent a
  • MPMedical Practitioner