Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

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
12830GMPNP	LEVOTHYROXINE levothyroxine sodium 125 microgram tablet, 200 (PI, CMI)	1	200	1	$26.42	$27.82	$31.27
	Available brands
	Eltroxin

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

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
12960DMPNP	LEVOTHYROXINE levothyroxine sodium 75 microgram tablet, 2 x 100 (PI, CMI)	1	200	1	$23.26	$24.66	$28.11
	Available brands
	LEVOXINEa
	Thyroxa

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

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
12968MMPNP	LEVOTHYROXINE levothyroxine sodium 100 microgram tablet, 2 x 100 (PI, CMI)	1	200	1	$23.45	$24.85	$28.30
	Available brands
	LEVOXINEa
	Thyroxa

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

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
12969NMPNP	LEVOTHYROXINE levothyroxine sodium 50 microgram tablet, 2 x 100 (PI, CMI)	1	200	1	$23.09	$24.49	$27.94
	Available brands
	LEVOXINEa
	Thyroxa

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

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
12970PMPNP	LEVOTHYROXINE levothyroxine sodium 200 microgram tablet, 2 x 100 (PI, CMI)	1	200	1	$25.26	$26.66	$30.11
	Available brands
	LEVOXINEa
	Thyroxa

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

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
2173JMPNP	LEVOTHYROXINE levothyroxine sodium 200 microgram tablet, 200 (PI, CMI)	1	200	1	$25.26	$26.66	$30.11
	Available brands
	APO-Levothyroxinea
	Eltroxinb
	Eutroxsiga
	Levothoxb
	Levothyroxine Lupa
	Levothyroxine Sandoza
	Oroxinea * Additional charge for this brand is $1.31B	1	200	1	$26.57	$26.66	$31.42

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

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
2174KMPNP	LEVOTHYROXINE levothyroxine sodium 50 microgram tablet, 200 (PI, CMI)	1	200	1	$23.09	$24.49	$27.94
	Available brands
	APO-Levothyroxinea
	Eltroxinb
	Eutroxsiga
	Levothoxb
	Levothyroxine Lupa
	Levothyroxine Sandoza
	Oroxinea * Additional charge for this brand is $1.31B	1	200	1	$24.40	$24.49	$29.25

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

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
2175LMPNP	LEVOTHYROXINE levothyroxine sodium 100 microgram tablet, 200 (PI, CMI)	1	200	1	$23.45	$24.85	$28.30
	Available brands
	APO-Levothyroxinea
	Eltroxinb
	Eutroxsiga
	Levothoxb
	Levothyroxine Lupa
	Levothyroxine Sandoza
	Oroxinea * Additional charge for this brand is $1.31B	1	200	1	$24.76	$24.85	$29.61

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

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
9287TMPNP	LEVOTHYROXINE levothyroxine sodium 75 microgram tablet, 200 (PI, CMI)	1	200	1	$23.26	$24.66	$28.11
	Available brands
	APO-Levothyroxinea
	Eltroxinb
	Eutroxsiga
	Levothoxb
	Levothyroxine Lupa
	Levothyroxine Sandoza
	Oroxinea * Additional charge for this brand is $1.32B	1	200	1	$24.58	$24.66	$29.43