ESTRADIOL

estradiol valerate 2 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: $22.70 Max safety net: $24.18 General Patient Charge: $25.00
Available brands
Progynova
estradiol valerate 2 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: $18.24 Max safety net: $19.72 General Patient Charge: $22.51
Available brands
Progynova