Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > TETRACYCLINES

Note

Restricted Benefit

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
10777FMP	DOXYCYCLINE doxycycline 100 mg modified release capsule, 7 (PI, CMI)
	Available brands
	Doryxa * Additional charge for this brand is $11.80B	4	28	5	$36.36	$26.04	$41.29
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $6.16B	4	28	5	$30.72	$26.04	$35.65

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > TETRACYCLINES

Note

Restricted Benefit

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
2703GMPNP	DOXYCYCLINE doxycycline 100 mg modified release capsule, 7 (PI, CMI)
	Available brands
	Doryxa * Additional charge for this brand is $11.80B	4	28	0	$36.36	$26.04	$41.29
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $6.16B	4	28	0	$30.72	$26.04	$35.65

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > TETRACYCLINES

Note

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
2708MMPMWNP	DOXYCYCLINE doxycycline 100 mg modified release capsule, 7 (PI, CMI)
	Available brands
	Doryxa * Additional charge for this brand is $2.95B	1	7	1	$19.43	$17.96	$24.36
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $1.54B	1	7	1	$18.02	$17.96	$22.95

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > TETRACYCLINES

Note

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
3322WDP	DOXYCYCLINE doxycycline 100 mg modified release capsule, 7 (PI, CMI)
	Available brands
	Doryxa * Additional charge for this brand is $2.95B	1	7	0	$19.43	$17.96	$24.36
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $1.54B	1	7	0	$18.02	$17.96	$22.95