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 $11.84B	4	28	5	$29.70	$19.15	$35.38
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $6.16B	4	28	5	$24.02	$19.15	$29.70

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 $11.84B	4	28	0	$29.70	$19.15	$35.38
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $6.16B	4	28	0	$24.02	$19.15	$29.70

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
2708MMPNP	DOXYCYCLINE doxycycline 100 mg modified release capsule, 7 (PI, CMI)
	Available brands
	Doryxa * Additional charge for this brand is $2.96B	1	7	1	$16.44	$14.77	$22.12
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $1.54B	1	7	1	$15.02	$14.77	$20.70

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 $2.96B	1	7	0	$16.44	$14.77	$22.12
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $1.54B	1	7	0	$15.02	$14.77	$20.70