MINOCYCLINE

minocycline 50 mg tablet, 60
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe acne
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 120 # of repeats: 2 DPMQ: $39.38 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Akamin 50
Minomycin-50
minocycline 50 mg tablet, 60
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe acne
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 60 # of repeats: 5 DPMQ: $26.58 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Akamin 50
Minomycin-50