PREDNISOLONE

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: 200 # of repeats: 4 DPMQ: $20.00 Max safety net: $21.48 General Patient Charge: $24.27
Available brands
Predsolone
Panafcortelone
*Additional charge for this brand is $2.00
DPMQ: $22.00 Max safety net: $21.48 General Patient Charge: $26.27
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: 120 # of repeats: 4 DPMQ: $20.88 Max safety net: $22.36 General Patient Charge: $25.00
Available brands
Panafcortelone
Solone
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: 4 DPMQ: $18.18 Max safety net: $19.66 General Patient Charge: $22.45
Available brands
Panafcortelone
Solone
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: 60 # of repeats: 4 DPMQ: $17.33 Max safety net: $18.81 General Patient Charge: $21.60
Available brands
Panafcortelone
Solone
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: 100 # of repeats: 4 DPMQ: $16.89 Max safety net: $18.37 General Patient Charge: $21.16
Available brands
Predsolone
Panafcortelone
*Additional charge for this brand is $1.00
DPMQ: $17.89 Max safety net: $18.37 General Patient Charge: $22.16