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

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
2174KMPMWNP	LEVOTHYROXINE levothyroxine sodium 50 microgram tablet, 200 (PI, CMI)	1	200	1	$22.42	$23.90	$27.35
	Available brands
	APO-Levothyroxinea
	Eltroxinb
	Eutroxsiga
	Levothoxb
	Levothyroxine Lupa
	Levothyroxine Sandoza
	Oroxinea * Additional charge for this brand is $1.12B	1	200	1	$23.54	$23.90	$28.47