DIPHENOXYLATE + ATROPINE SULFATE

Source General Schedule
Body System ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > ANTIPROPULSIVES
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
2501PMPNP DIPHENOXYLATE + ATROPINE SULFATE
diphenoxylate hydrochloride 2.5 mg + atropine sulfate monohydrate 25 microgram tablet, 20 (PI, CMI)
1 20 0 $15.90 $17.30 $20.75
Available brands
Lofenoxala
Lomotila
* Additional charge for this brand is $3.33B
1 20 0 $19.23 $17.30 $24.08
space


  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner