GOSERELIN (&) BICALUTAMIDE

goserelin 10.8 mg implant [1 implant] (&) bicalutamide 50 mg tablet [84], 1 pack
Manner of administration:Implantation/oral
General Schedule
Restricted Benefit

Restriction

Indication: Carcinoma of the prostate
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: 1 DPMQ: $1,323.25 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
ZolaCos CP 10.8/50(84)