DUTASTERIDE

DUTASTERIDE (10095H)

dutasteride 500 microgram capsule, 30
10095H
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Benign prostatic hyperplasia
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
APO-Dutasteride DPMQ: $30.23 Max safety net: $7.70 General Patient Charge: $7.70
Avodart DPMQ: $37.02 Max safety net: $7.70 General Patient Charge: $7.70

DUTASTERIDE (13900N)

dutasteride 500 microgram capsule, 30
13900N
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15018)

Indication: Benign prostatic hyperplasia
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 60 # of repeats: 5 DPMQ: $46.10 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Dutasteride
Dutacor
Avodart
*Additional charge for this brand is $13.58
 DPMQ: $59.68 Max safety net: $25.00 General Patient Charge: $38.58

DUTASTERIDE (14210X)

dutasteride 500 microgram capsule, 30
14210X
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Benign prostatic hyperplasia
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 60 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
APO-Dutasteride DPMQ: $46.10 Max safety net: $7.70 General Patient Charge: $7.70
Avodart DPMQ: $59.68 Max safety net: $7.70 General Patient Charge: $7.70

DUTASTERIDE (5468T)

dutasteride 500 microgram capsule, 30
5468T
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6202)

Indication: Benign prostatic hyperplasia
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 5 DPMQ: $30.23 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Dutasteride
Dutacor
Avodart
*Additional charge for this brand is $6.79
 DPMQ: $37.02 Max safety net: $25.00 General Patient Charge: $31.79