ESTRADIOL

estradiol valerate 1 mg tablet, 56
Manner of administration:Oral
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: 112 # of repeats: 2 DPMQ: $20.06 Max safety net: $21.54 General Patient Charge: $24.33
Available brands
Progynova
estradiol valerate 1 mg tablet, 56
Manner of administration:Oral
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: 56 # of repeats: 2 DPMQ: $16.92 Max safety net: $18.40 General Patient Charge: $21.19
Available brands
Progynova