LEVOTHYROXINE

Source General Schedule
Body System SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS
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 $25.57 $26.88 $31.42
Available brands
Eltroxin
space

LEVOTHYROXINE

Source General Schedule
Body System SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS
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 $23.61 $24.92 $29.46
Available brands
LEVOXINEa
space

LEVOTHYROXINE

Source General Schedule
Body System SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS
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 $23.59 $24.90 $29.44
Available brands
LEVOXINEa
space

LEVOTHYROXINE

Source General Schedule
Body System SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS
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 $23.19 $24.50 $29.04
Available brands
LEVOXINEa
space

LEVOTHYROXINE

Source General Schedule
Body System SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS
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 $25.57 $26.88 $31.42
Available brands
LEVOXINEa
space

LEVOTHYROXINE

Source General Schedule
Body System SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS
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 $25.57 $26.88 $31.42
Available brands
Eltroxin
Eutroxsiga
Oroxinea
* Additional charge for this brand is $1.44B
1 200 1 $27.01 $26.88 $32.86
space

LEVOTHYROXINE

Source General Schedule
Body System SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS
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 $23.19 $24.50 $29.04
Available brands
Eltroxin
Eutroxsiga
Oroxinea
* Additional charge for this brand is $1.44B
1 200 1 $24.63 $24.50 $30.48
space

LEVOTHYROXINE

Source General Schedule
Body System SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS
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 $23.59 $24.90 $29.44
Available brands
Eltroxin
Eutroxsiga
Oroxinea
* Additional charge for this brand is $1.44B
1 200 1 $25.03 $24.90 $30.88
space

LEVOTHYROXINE

Source General Schedule
Body System SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS
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 $23.61 $24.92 $29.46
Available brands
Eltroxin
Eutroxsiga
Oroxinea
* Additional charge for this brand is $1.49B
1 200 1 $25.10 $24.92 $30.95
space


  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner