DIPHENOXYLATE + ATROPINE SULFATE

Source General Schedule
Body System ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > ANTIPROPULSIVES
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
2501PMPNP DIPHENOXYLATE + ATROPINE SULFATE
diphenoxylate hydrochloride 2.5 mg + atropine sulfate monohydrate 25 microgram tablet, 20 (PI, CMI)
1 20 0 $15.05 $16.36 $20.90
Available brands
Lofenoxala
Lomotila
* Additional charge for this brand is $3.33B
1 20 0 $18.38 $16.36 $24.23
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner