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
10510EMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56 (PI, CMI)	1	56	5	$59.01	$31.60	$31.60
	Available brands
	Xigduo 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
10515KMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28 (PI, CMI)	1	28	5	$57.58	$31.60	$31.60
	Available brands
	Xigduo XR 10/1000

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
10516LMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28 (PI, CMI)	1	28	5	$56.81	$31.60	$31.60
	Available brands
	Xigduo XR 10/500

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
11270EMP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28 (PI, CMI)	1	28	5	$56.81	$31.60	$31.60
	Available brands
	Xigduo XR 10/500 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
11300RMP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56 (PI, CMI)	1	56	5	$59.01	$31.60	$31.60
	Available brands
	Xigduo 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
11313KMP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28 (PI, CMI)	1	28	5	$57.58	$31.60	$31.60
	Available brands
	Xigduo XR 10/1000 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
13851BMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56 (PI, CMI)	2	112	5	$104.57	$31.60	$31.60
	Available brands
	Xigduo 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
13875GMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28 (PI, CMI)	2	56	5	$101.71	$31.60	$31.60
	Available brands
	Xigduo XR 10/1000

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
14028HMPNP	DAPAGLIFLOZIN + METFORMIN dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28 (PI, CMI)	2	56	5	$100.17	$31.60	$31.60
	Available brands
	Xigduo XR 10/500