Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
10048WMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56 (PI, CMI)	1	56	5	$54.76	$31.60	$31.60
	Available brands
	Kombiglyze XR 2.5/1000

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
10051BMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28 (PI, CMI)	1	28	5	$53.54	$31.60	$31.60
	Available brands
	Kombiglyze XR 5/1000

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
10055FMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28 (PI, CMI)	1	28	5	$52.75	$31.60	$31.60
	Available brands
	Kombiglyze XR 5/500

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
13876HMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28 (PI, CMI)	2	56	5	$93.63	$31.60	$31.60
	Available brands
	Kombiglyze XR 5/1000

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
13880MMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56 (PI, CMI)	2	112	5	$96.07	$31.60	$31.60
	Available brands
	Kombiglyze XR 2.5/1000

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
14030KMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28 (PI, CMI)	2	56	5	$92.05	$31.60	$31.60
	Available brands
	Kombiglyze XR 5/500