RISEDRONATE

RISEDRONATE (13360E)

risedronate sodium 5 mg tablet, 28
13360E
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Corticosteroid-induced osteoporosis

Restriction

Indication: Osteoporosis

Restriction

Indication: Established osteoporosis
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: $61.82 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actonel

RISEDRONATE (13364J)

risedronate sodium 35 mg enteric tablet, 4
13364J
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Corticosteroid-induced osteoporosis

Restriction

Indication: Osteoporosis

Restriction

Indication: Established osteoporosis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 8 # of repeats: 5 DPMQ: $54.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actonel EC

RISEDRONATE (13488X)

risedronate sodium 150 mg tablet, 1
13488X
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Corticosteroid-induced osteoporosis

Restriction

Indication: Osteoporosis

Restriction

Indication: Established osteoporosis
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: $58.08 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Risedronate
Actonel Once-a-Month

RISEDRONATE (14198G)

risedronate sodium 35 mg enteric tablet, 4
14198G
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Preservation of bone mineral density
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 8 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Actonel EC DPMQ: $54.64 Max safety net: $7.70 General Patient Charge: $7.70

RISEDRONATE (14209W)

risedronate sodium 5 mg tablet, 28
14209W
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Preservation of bone mineral density
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
Actonel DPMQ: $61.82 Max safety net: $7.70 General Patient Charge: $7.70

RISEDRONATE (2191H)

risedronate sodium 35 mg enteric tablet, 4
2191H
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Preservation of bone mineral density
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 4 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Actonel EC DPMQ: $34.21 Max safety net: $7.70 General Patient Charge: $7.70

RISEDRONATE (4443W)

risedronate sodium 5 mg tablet, 28
4443W
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Preservation of bone mineral density
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
Actonel DPMQ: $37.80 Max safety net: $7.70 General Patient Charge: $7.70

RISEDRONATE (8481J)

risedronate sodium 5 mg tablet, 28
8481J
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Corticosteroid-induced osteoporosis

Restriction

Indication: Osteoporosis

Restriction

Indication: Established osteoporosis
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: $37.80 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actonel

RISEDRONATE (8482K)

risedronate sodium 30 mg tablet, 28
8482K
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Symptomatic Paget disease of bone
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: 1 DPMQ: $180.99 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actonel

RISEDRONATE (8972F)

risedronate sodium 35 mg enteric tablet, 4
8972F
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Corticosteroid-induced osteoporosis

Restriction

Indication: Osteoporosis

Restriction

Indication: Established osteoporosis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 4 # of repeats: 5 DPMQ: $34.21 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actonel EC