ITRACONAZOLE

ITRACONAZOLE (10732W)

itraconazole 50 mg capsule, 60
10732W
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16119)

Indication: Systemic aspergillosis

Restriction (Streamlined authority code: 15978)

Indication: Systemic sporotrichosis

Restriction (Streamlined authority code: 16035)

Indication: Systemic histoplasmosis

Restriction (Streamlined authority code: 16099)

Indication: Disseminated pulmonary histoplasmosis infection
Treatment phase: Treatment and maintenance therapy

Restriction (Streamlined authority code: 16101)

Indication: Chronic pulmonary histoplasmosis infection
Treatment phase: Treatment and maintenance therapy

Restriction (Streamlined authority code: 16073)

Indication: Oropharyngeal candidiasis

Restriction (Streamlined authority code: 16102)

Indication: Oesophageal candidiasis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 60 # of repeats: 5 DPMQ: $118.55 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lozanoc

ITRACONAZOLE (8196J)

itraconazole 100 mg capsule, 60
8196J
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16119)

Indication: Systemic aspergillosis

Restriction (Streamlined authority code: 15978)

Indication: Systemic sporotrichosis

Restriction (Streamlined authority code: 16035)

Indication: Systemic histoplasmosis

Restriction (Streamlined authority code: 16099)

Indication: Disseminated pulmonary histoplasmosis infection
Treatment phase: Treatment and maintenance therapy

Restriction (Streamlined authority code: 16101)

Indication: Chronic pulmonary histoplasmosis infection
Treatment phase: Treatment and maintenance therapy

Restriction (Streamlined authority code: 16073)

Indication: Oropharyngeal candidiasis

Restriction (Streamlined authority code: 16102)

Indication: Oesophageal candidiasis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 60 # of repeats: 5 DPMQ: $118.55 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
ITRANOX
Itracap