LEVOTHYROXINE
Source | General Schedule |
Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
12830GMPNP | LEVOTHYROXINE levothyroxine sodium 125 microgram tablet, 200 (PI, CMI) |
1 | 200 | 1 | $26.42 | $27.82 | $31.27 |
Available brands | |||||||
Eltroxin |
LEVOTHYROXINE
Source | General Schedule |
Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
12960DMPNP | LEVOTHYROXINE levothyroxine sodium 75 microgram tablet, 2 x 100 (PI, CMI) |
1 | 200 | 1 | $23.26 | $24.66 | $28.11 |
Available brands | |||||||
LEVOXINEa | |||||||
Thyroxa |
LEVOTHYROXINE
Source | General Schedule |
Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
12968MMPNP | LEVOTHYROXINE levothyroxine sodium 100 microgram tablet, 2 x 100 (PI, CMI) |
1 | 200 | 1 | $23.45 | $24.85 | $28.30 |
Available brands | |||||||
LEVOXINEa | |||||||
Thyroxa |
LEVOTHYROXINE
Source | General Schedule |
Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
12969NMPNP | LEVOTHYROXINE levothyroxine sodium 50 microgram tablet, 2 x 100 (PI, CMI) |
1 | 200 | 1 | $23.09 | $24.49 | $27.94 |
Available brands | |||||||
LEVOXINEa | |||||||
Thyroxa |
LEVOTHYROXINE
Source | General Schedule |
Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
12970PMPNP | LEVOTHYROXINE levothyroxine sodium 200 microgram tablet, 2 x 100 (PI, CMI) |
1 | 200 | 1 | $25.26 | $26.66 | $30.11 |
Available brands | |||||||
LEVOXINEa | |||||||
Thyroxa |
LEVOTHYROXINE
Source | General Schedule |
Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
2173JMPNP | LEVOTHYROXINE levothyroxine sodium 200 microgram tablet, 200 (PI, CMI) |
1 | 200 | 1 | $25.26 | $26.66 | $30.11 |
Available brands | |||||||
APO-Levothyroxinea | |||||||
Eltroxinb | |||||||
Eutroxsiga | |||||||
Levothoxb | |||||||
Levothyroxine Lupa | |||||||
Levothyroxine Sandoza | |||||||
Oroxinea * Additional charge for this brand is
$1.31B
|
1 | 200 | 1 | $26.57 | $26.66 | $31.42 |
LEVOTHYROXINE
Source | General Schedule |
Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
2174KMPNP | LEVOTHYROXINE levothyroxine sodium 50 microgram tablet, 200 (PI, CMI) |
1 | 200 | 1 | $23.09 | $24.49 | $27.94 |
Available brands | |||||||
APO-Levothyroxinea | |||||||
Eltroxinb | |||||||
Eutroxsiga | |||||||
Levothoxb | |||||||
Levothyroxine Lupa | |||||||
Levothyroxine Sandoza | |||||||
Oroxinea * Additional charge for this brand is
$1.31B
|
1 | 200 | 1 | $24.40 | $24.49 | $29.25 |
LEVOTHYROXINE
Source | General Schedule |
Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
2175LMPNP | LEVOTHYROXINE levothyroxine sodium 100 microgram tablet, 200 (PI, CMI) |
1 | 200 | 1 | $23.45 | $24.85 | $28.30 |
Available brands | |||||||
APO-Levothyroxinea | |||||||
Eltroxinb | |||||||
Eutroxsiga | |||||||
Levothoxb | |||||||
Levothyroxine Lupa | |||||||
Levothyroxine Sandoza | |||||||
Oroxinea * Additional charge for this brand is
$1.31B
|
1 | 200 | 1 | $24.76 | $24.85 | $29.61 |
LEVOTHYROXINE
Source | General Schedule |
Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
9287TMPNP | LEVOTHYROXINE levothyroxine sodium 75 microgram tablet, 200 (PI, CMI) |
1 | 200 | 1 | $23.26 | $24.66 | $28.11 |
Available brands | |||||||
APO-Levothyroxinea | |||||||
Eltroxinb | |||||||
Eutroxsiga | |||||||
Levothoxb | |||||||
Levothyroxine Lupa | |||||||
Levothyroxine Sandoza | |||||||
Oroxinea * Additional charge for this brand is
$1.32B
|
1 | 200 | 1 | $24.58 | $24.66 | $29.43 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- bBrand equivalent b
- MPMedical Practitioner
- NPNurse Practitioner