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
10510EMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56 (PI, CMI)	1	56	5	$54.65	$31.60	$31.60
	Available brands
	Xigduo 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
10515KMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28 (PI, CMI)	1	28	5	$53.35	$31.60	$31.60
	Available brands
	Xigduo XR 10/1000

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
10516LMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28 (PI, CMI)	1	28	5	$52.57	$31.60	$31.60
	Available brands
	Xigduo XR 10/500

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
13851BMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56 (PI, CMI)	2	112	5	$95.85	$31.60	$31.60
	Available brands
	Xigduo 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
13875GMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28 (PI, CMI)	2	56	5	$93.25	$31.60	$31.60
	Available brands
	Xigduo XR 10/1000

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
14028HMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28 (PI, CMI)	2	56	5	$91.69	$31.60	$31.60
	Available brands
	Xigduo XR 10/500