SAXAGLIPTIN

General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15287)

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: 56 # of repeats: 5 DPMQ: $90.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Onglyza
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15261)

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: 28 # of repeats: 5 DPMQ: $52.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Onglyza