CYPROTERONE

General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 200 # of repeats: 5 DPMQ: $137.72 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
ANTERONE 50
Androcur
Cyproterone Sandoz