EMPAGLIFLOZIN + LINAGLIPTIN

EMPAGLIFLOZIN + LINAGLIPTIN (11269D)

empagliflozin 10 mg + linagliptin 5 mg tablet, 30
11269D
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15269)

Indication: Diabetes mellitus type 2
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 5 DPMQ: $77.99 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Glyxambi

EMPAGLIFLOZIN + LINAGLIPTIN (13904T)

empagliflozin 10 mg + linagliptin 5 mg tablet, 30
13904T
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15270)

Indication: Diabetes mellitus type 2
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 60 # of repeats: 5 DPMQ: $143.62 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Glyxambi