FLUOROURACIL

FLUOROURACIL (13758D)

fluorouracil 4% cream, 20 g
13758D
Body System:
Manner of administration:Application
Repatriation Pharmaceutical Benefits
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: 1 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
TOLAK 4% ONCE DAILY DPMQ: $68.63 Max safety net: $7.70 General Patient Charge: $7.70

FLUOROURACIL (4222F)

fluorouracil 5% cream, 20 g
4222F
Body System:
Manner of administration:Application
Repatriation Pharmaceutical Benefits
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: 1 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
APOC-5FU DPMQ: $67.98 Max safety net: $7.70 General Patient Charge: $7.70
Efudix DPMQ: $77.01 Max safety net: $7.70 General Patient Charge: $7.70
Fluorouracil Viatris DPMQ: $67.98 Max safety net: $7.70 General Patient Charge: $7.70

FLUOROURACIL (4394G)

4394G
Body System:
Manner of administration:Injection
Public
Chemotherapy Items for Public Hospital use
Restricted Benefit

Restriction

Indication: Patients requiring administration of fluorouracil by intravenous infusion
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 5500 mg # of repeats: 11 DPMA: $114.07 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Fluorouracil Accord
(fluorouracil 500 mg/10 mL injection, 10 mL vial)
Fluorouracil Accord
(fluorouracil 1 g/20 mL injection, 20 mL vial)
Fluorouracil Accord
(fluorouracil 2.5 g/50 mL injection, 50 mL vial)
Fluorouracil Accord
(fluorouracil 5 g/100 mL injection, 100 mL vial)

FLUOROURACIL (4431F)

4431F
Body System:
Manner of administration:Injection
Public
Chemotherapy Items for Public Hospital use
Restricted Benefit

Restriction

Indication: Patients requiring administration of fluorouracil by intravenous injection
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 1000 mg # of repeats: 23 DPMA: $97.07 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Fluorouracil Accord
(fluorouracil 500 mg/10 mL injection, 10 mL vial)
Fluorouracil Accord
(fluorouracil 1 g/20 mL injection, 20 mL vial)
Fluorouracil Accord
(fluorouracil 2.5 g/50 mL injection, 50 mL vial)
Fluorouracil Accord
(fluorouracil 5 g/100 mL injection, 100 mL vial)

FLUOROURACIL (7234R)

7234R
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
Restricted Benefit

Restriction

Indication: Patients requiring administration of fluorouracil by intravenous infusion
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 5500 mg # of repeats: 11 DPMA: $160.06 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Fluorouracil Accord
(fluorouracil 500 mg/10 mL injection, 10 mL vial)
Fluorouracil Accord
(fluorouracil 1 g/20 mL injection, 20 mL vial)
Fluorouracil Accord
(fluorouracil 2.5 g/50 mL injection, 50 mL vial)
Fluorouracil Accord
(fluorouracil 5 g/100 mL injection, 100 mL vial)

FLUOROURACIL (7239B)

7239B
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
Restricted Benefit

Restriction

Indication: Patients requiring administration of fluorouracil by intravenous injection
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 1000 mg # of repeats: 23 DPMA: $142.82 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Fluorouracil Accord
(fluorouracil 500 mg/10 mL injection, 10 mL vial)
Fluorouracil Accord
(fluorouracil 1 g/20 mL injection, 20 mL vial)
Fluorouracil Accord
(fluorouracil 2.5 g/50 mL injection, 50 mL vial)
Fluorouracil Accord
(fluorouracil 5 g/100 mL injection, 100 mL vial)