BUDESONIDE

BUDESONIDE (14438X)

budesonide 500 microgram/2 mL inhalation solution, 30 x 2 mL ampoules
14438X
Body System:
Manner of administration:Inhalation
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15578)

Indication: Severe chronic asthma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $166.84 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Respules

BUDESONIDE (2065Q)

budesonide 500 microgram/2 mL inhalation solution, 30 x 2 mL ampoules
2065Q
Body System:
Manner of administration:Inhalation
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6340)

Indication: Severe chronic asthma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $89.05 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pulmicort Respules