LATANOPROST

LATANOPROST (14453Q)

latanoprost 0.005% eye drops, 2.5 mL
14453Q
Body System:
Manner of administration:Application To The Eye
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: 2 # of repeats: 5 DPMQ: $22.84 Max safety net: $24.38 General Patient Charge: $25.00
Available brands
APO-Latanoprost
Latanoprost Sandoz
Xalaprost
Xalatan

LATANOPROST (5552F)

latanoprost 0.005% eye drops, 2.5 mL
5552F
Body System:
Manner of administration:Application To The Eye
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: 1 # of repeats: 5 DPMQ: $18.60 Max safety net: $20.14 General Patient Charge: $22.93
Available brands
APO-Latanoprost
Latanoprost Sandoz
Xalaprost
Xalatan

LATANOPROST (8243W)

latanoprost 0.005% eye drops, 2.5 mL
8243W
Body System:
Manner of administration:Application To The Eye
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: 1 # of repeats: 5 DPMQ: $18.60 Max safety net: $20.14 General Patient Charge: $22.93
Available brands
APO-Latanoprost
Latanoprost Sandoz
Xalaprost
Xalatan