FLUCLOXACILLIN

General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17381)

Indication: Osteomyelitis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 48 # of repeats: 1 DPMQ: $31.18 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Flopen
Flopen Viatris
Staphylex 500
General Schedule
Restricted Benefit

Restriction

Indication: Serious staphylococcal infection
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 24 # of repeats: 0 DPMQ: $22.48 Max safety net: $23.96 General Patient Charge: $25.00
Available brands
Flopen
Flopen Viatris
Staphylex 500
General Schedule
Restricted Benefit

Restriction

Indication: Serious staphylococcal infection
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 24 # of repeats: 0 DPMQ: $22.48 Max safety net: $23.96 General Patient Charge: $25.00
Available brands
Flopen
Flopen Viatris
Staphylex 500