PANTOPRAZOLE

General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15530)

Indication: Gastro-oesophageal reflux disease
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