Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > CARDIAC GLYCOSIDES

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1322NMPNP	DIGOXIN digoxin 250 microgram tablet, 100 (PI, CMI)	1	100	1	$17.37	$18.82	$22.27
	Available brands
	Sigmaxina
	Lanoxina * Additional charge for this brand is $2.41B	1	100	1	$19.78	$18.82	$24.68

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > CARDIAC GLYCOSIDES

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
2605DMPNP	DIGOXIN digoxin 62.5 microgram tablet, 200 (PI, CMI)	1	200	1	$17.37	$18.82	$22.27
	Available brands
	Sigmaxin-PGa
	Lanoxin-PGa * Additional charge for this brand is $2.41B	1	200	1	$19.78	$18.82	$24.68

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > CARDIAC GLYCOSIDES

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
3164MMPNP	DIGOXIN digoxin 50 microgram/mL oral liquid, 60 mL (PI, CMI)	2	2	3	$43.67	$31.60	$31.60
	Available brands
	Lanoxin