DIGOXIN

DIGOXIN (1322N)

digoxin 250 microgram tablet, 100
1322N
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 1 DPMQ: $17.70 Max safety net: $19.18 General Patient Charge: $21.97
Available brands
Sigmaxin
Lanoxin
*Additional charge for this brand is $2.41
 DPMQ: $20.11 Max safety net: $19.18 General Patient Charge: $24.38

DIGOXIN (2605D)

digoxin 62.5 microgram tablet, 200
2605D
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 200 # of repeats: 1 DPMQ: $17.70 Max safety net: $19.18 General Patient Charge: $21.97
Available brands
Sigmaxin-PG
Lanoxin-PG
*Additional charge for this brand is $2.41
 DPMQ: $20.11 Max safety net: $19.18 General Patient Charge: $24.38

DIGOXIN (3164M)

digoxin 50 microgram/mL oral liquid, 60 mL
3164M
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 3 DPMQ: $44.00 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lanoxin