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 | |||||||
| Sildenafil APOTEXa | 1 | 4 | 5 | $57.74 | $7.70 | $7.70 | |
| Sildenafil Sandoza | 1 | 4 | 5 | $57.74 | $7.70 | $7.70 | |
| Vasafil 25a | 1 | 4 | 5 | $57.74 | $7.70 | $7.70 | |
| Vedafila | 1 | 4 | 5 | $57.74 | $7.70 | $7.70 | |
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 | |||||||
| NOUMED Sildenafila | 1 | 4 | 5 | $69.74 | $7.70 | $7.70 | |
| Sildenafil APOTEXa | 1 | 4 | 5 | $69.74 | $7.70 | $7.70 | |
| Sildenafil Lupina | 1 | 4 | 5 | $30.43 | $7.70 | $7.70 | |
| Sildenafil Sandoza | 1 | 4 | 5 | $69.74 | $7.70 | $7.70 | |
| Vasafil 50a | 1 | 4 | 5 | $69.74 | $7.70 | $7.70 | |
| Vedafila | 1 | 4 | 5 | $69.74 | $7.70 | $7.70 | |
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 | |||||||
| NOUMED Sildenafila | 1 | 4 | 5 | $74.31 | $7.70 | $7.70 | |
| Sildenafil APOTEXa | 1 | 4 | 5 | $74.31 | $7.70 | $7.70 | |
| Sildenafil Lupina | 1 | 4 | 5 | $33.79 | $7.70 | $7.70 | |
| Sildenafil Sandoza | 1 | 4 | 5 | $74.31 | $7.70 | $7.70 | |
| Vasafil 100a | 1 | 4 | 5 | $74.31 | $7.70 | $7.70 | |
| Vedafila | 1 | 4 | 5 | $74.31 | $7.70 | $7.70 | |
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 | 5 | $95.81 | $31.60 | $31.60 |
| Available brands | |||||||
| Revatioa | |||||||
| SILDATIO PHTa | |||||||
| Sildenafil PHT APOTEXa | |||||||
| Sildenafil Sandoz PHT 20a |
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 | 5 | $108.69 | $31.60 | $31.60 |
| Available brands | |||||||
| Revatioa | |||||||
| SILDATIO PHTa | |||||||
| Sildenafil PHT APOTEXa | |||||||
| Sildenafil Sandoz PHT 20a |
- Legend
- RRepatriation Care items
- aBrand equivalent a
- MPMedical Practitioner
