CYPROTERONE

cyproterone acetate 100 mg tablet, 50
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 50 # of repeats: 5 DPMQ: $61.60 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
ANTERONE 100
Cyproterone Sandoz
Androcur-100
*Additional charge for this brand is $1.21
DPMQ: $62.81 Max safety net: $25.00 General Patient Charge: $26.21