FINASTERIDE

FINASTERIDE (14191X)

finasteride 5 mg tablet, 28
14191X
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Benign prostatic hyperplasia
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 56 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Finpro DPMQ: $166.48 Max safety net: $7.70 General Patient Charge: $7.70

FINASTERIDE (14199H)

finasteride 5 mg tablet, 30
14199H
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Benign prostatic hyperplasia
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: - Max safety net: - General Patient Charge: -
Available brands
APO-Finasteride DPMQ: $186.58 Max safety net: $7.70 General Patient Charge: $7.70
Finasta DPMQ: $186.58 Max safety net: $7.70 General Patient Charge: $7.70
Finasteride-GA 5 DPMQ: $186.58 Max safety net: $7.70 General Patient Charge: $7.70
Finasteride GH 5 DPMQ: $141.34 Max safety net: $7.70 General Patient Charge: $7.70
Finasteride Mylan 5 DPMQ: $141.34 Max safety net: $7.70 General Patient Charge: $7.70
Finide DPMQ: $141.34 Max safety net: $7.70 General Patient Charge: $7.70
Finnacar DPMQ: $177.70 Max safety net: $7.70 General Patient Charge: $7.70
Pharmacor Finasteride 5 DPMQ: $186.58 Max safety net: $7.70 General Patient Charge: $7.70
Proscar DPMQ: $186.58 Max safety net: $7.70 General Patient Charge: $7.70

FINASTERIDE (4233T)

finasteride 5 mg tablet, 30
4233T
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Benign prostatic hyperplasia
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: - Max safety net: - General Patient Charge: -
Available brands
APO-Finasteride DPMQ: $98.75 Max safety net: $7.70 General Patient Charge: $7.70
Finasta DPMQ: $98.75 Max safety net: $7.70 General Patient Charge: $7.70
Finasteride-GA 5 DPMQ: $98.75 Max safety net: $7.70 General Patient Charge: $7.70
Finasteride GH 5 DPMQ: $77.21 Max safety net: $7.70 General Patient Charge: $7.70
Finasteride Mylan 5 DPMQ: $77.21 Max safety net: $7.70 General Patient Charge: $7.70
Finide DPMQ: $77.21 Max safety net: $7.70 General Patient Charge: $7.70
Finnacar DPMQ: $94.52 Max safety net: $7.70 General Patient Charge: $7.70
Pharmacor Finasteride 5 DPMQ: $98.75 Max safety net: $7.70 General Patient Charge: $7.70
Proscar DPMQ: $98.75 Max safety net: $7.70 General Patient Charge: $7.70

FINASTERIDE (4303L)

finasteride 5 mg tablet, 28
4303L
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Benign prostatic hyperplasia
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Finpro DPMQ: $89.18 Max safety net: $7.70 General Patient Charge: $7.70