ZOLEDRONIC ACID

ZOLEDRONIC ACID (13772W)

zoledronic acid 4 mg/5 mL injection, 5 mL vial
13772W
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 14729)

Indication: Adjuvant management of breast cancer
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: 0 DPMQ: $58.60 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
DEZTRON
Zoledronate-DRLA 4
Zoledronic Acid Accord

ZOLEDRONIC ACID (13773X)

zoledronic acid 4 mg/5 mL injection, 5 mL vial
13773X
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 14735)

Indication: Adjuvant management of breast cancer
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: 0 DPMQ: $45.72 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
DEZTRON
Zoledronate-DRLA 4
Zoledronic Acid Accord

ZOLEDRONIC ACID (6371H)

zoledronic acid 4 mg/5 mL injection, 5 mL vial
6371H
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 9268)

Indication: Multiple myeloma

Restriction (Streamlined authority code: 9328)

Indication: Bone metastases

Restriction (Streamlined authority code: 9304)

Indication: Bone metastases

Restriction (Streamlined authority code: 9317)

Indication: Hypercalcaemia of malignancy
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: 11 DPMQ: $58.60 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Zoledronic Acid
DEZTRON
Zoledronate-DRLA 4
Zoledronic Acid Accord
Zometa

ZOLEDRONIC ACID (9288W)

zoledronic acid 5 mg/100 mL injection, 100 mL vial
9288W
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6308)

Indication: Corticosteroid-induced osteoporosis

Restriction (Streamlined authority code: 6313)

Indication: Osteoporosis

Restriction (Streamlined authority code: 6318)

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: 1 # of repeats: 0 DPMQ: $75.32 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Aclasta
Osteovan
Zoledasta
Zoledronate-RDY 5

ZOLEDRONIC ACID (9350D)

zoledronic acid 5 mg/100 mL injection, 100 mL vial
9350D
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5710)

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: 1 # of repeats: 0 DPMQ: $75.32 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Aclasta
Osteovan
Zoledasta
Zoledronate-RDY 5

ZOLEDRONIC ACID (9653C)

zoledronic acid 4 mg/5 mL injection, 5 mL vial
9653C
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5735)

Indication: Multiple myeloma

Restriction (Streamlined authority code: 5605)

Indication: Bone metastases

Restriction (Streamlined authority code: 5703)

Indication: Bone metastases

Restriction (Streamlined authority code: 5704)

Indication: Hypercalcaemia of malignancy
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: 11 DPMQ: $45.72 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Zoledronic Acid
DEZTRON
Zoledronate-DRLA 4
Zoledronic Acid Accord
Zometa