PROGESTERONE

General Schedule
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: 30 # of repeats: 5 DPMQ: $43.84 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Progesterone ADVZ 100
Prometrium
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: 2 Max qty units: 60 # of repeats: 5 DPMQ: $73.90 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Progesterone ADVZ 100
Prometrium