ANASTROZOLE

General Schedule
Restricted Benefit

Restriction

Indication: Breast cancer
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: $27.02 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
ANASTROZOLE-WGR
APO-Anastrozole
Anastrozole GH
Anastrozole Sandoz
Arianna 1