Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
10048WMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56 (PI, CMI)	1	56	5	$54.76	$31.60	$31.60
	Available brands
	Kombiglyze XR 2.5/1000

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
10051BMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28 (PI, CMI)	1	28	5	$53.54	$31.60	$31.60
	Available brands
	Kombiglyze XR 5/1000

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
10055FMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28 (PI, CMI)	1	28	5	$52.75	$31.60	$31.60
	Available brands
	Kombiglyze XR 5/500

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
11285YMP	SAXAGLIPTIN + METFORMIN saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56 (PI, CMI)	1	56	5	$54.76	$31.60	$31.60
	Available brands
	Kombiglyze XR 2.5/1000 SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply only

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
11299QMP	SAXAGLIPTIN + METFORMIN saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28 (PI, CMI)	1	28	5	$53.54	$31.60	$31.60
	Available brands
	Kombiglyze XR 5/1000 SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply only

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
11312JMP	SAXAGLIPTIN + METFORMIN saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28 (PI, CMI)	1	28	5	$52.75	$31.60	$31.60
	Available brands
	Kombiglyze XR 5/500 SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply only

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
13876HMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28 (PI, CMI)	2	56	5	$93.63	$31.60	$31.60
	Available brands
	Kombiglyze XR 5/1000

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
13880MMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56 (PI, CMI)	2	112	5	$96.07	$31.60	$31.60
	Available brands
	Kombiglyze XR 2.5/1000

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

Note

Authority Required (STREAMLINED)

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
14030KMPNP	SAXAGLIPTIN + METFORMIN saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28 (PI, CMI)	2	56	5	$92.05	$31.60	$31.60
	Available brands
	Kombiglyze XR 5/500