PANTOPRAZOLE

General Schedule
Authority Required

Restriction

Indication: Complex gastro-oesophageal reflux disease (GORD)
Treatment phase: One of: (1) establishment of symptom control, (2) maintenance treatment, (3) re-establishment of symptom control
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: $19.98 Max safety net: $21.46 General Patient Charge: $24.25
Available brands
APO-Pantoprazole
APX-PANTOPRAZOLE
BTC Pantoprazole
I-Pantoprazole
Ozpan
PANTOPRAZOLE-WGR
Panthron
Pantoprazole Sandoz
Pantoprazole generichealth
Salpraz
Sozol
Somac
*Additional charge for this brand is $9.90
DPMQ: $29.88 Max safety net: $21.46 General Patient Charge: $34.15