DIENOGEST

DIENOGEST (14667Y)

dienogest 2 mg tablet, 28
14667Y
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16222)

Indication: Endometriosis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 5 DPMQ: $58.03 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Dinasane
Visanne