Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

Note

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
12830GMPNP	LEVOTHYROXINE levothyroxine sodium 125 microgram tablet, 200 (PI, CMI)	1	200	1	$26.89	$28.34	$31.60
	Available brands
	Eltroxin

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

Note

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
12960DMPNP	LEVOTHYROXINE levothyroxine sodium 75 microgram tablet, 2 x 100 (PI, CMI)	1	200	1	$23.73	$25.18	$28.63
	Available brands
	LEVOXINEa
	Thyroxa

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

Note

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
12968MMPNP	LEVOTHYROXINE levothyroxine sodium 100 microgram tablet, 2 x 100 (PI, CMI)	1	200	1	$23.92	$25.37	$28.82
	Available brands
	LEVOXINEa
	Thyroxa

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

Note

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
12969NMPNP	LEVOTHYROXINE levothyroxine sodium 50 microgram tablet, 2 x 100 (PI, CMI)	1	200	1	$23.56	$25.01	$28.46
	Available brands
	LEVOXINEa
	Thyroxa

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

Note

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
12970PMPNP	LEVOTHYROXINE levothyroxine sodium 200 microgram tablet, 2 x 100 (PI, CMI)	1	200	1	$25.73	$27.18	$30.63
	Available brands
	LEVOXINEa
	Thyroxa

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

Note

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
2173JMPNP	LEVOTHYROXINE levothyroxine sodium 200 microgram tablet, 200 (PI, CMI)	1	200	1	$25.73	$27.18	$30.63
	Available brands
	APO-Levothyroxinea
	Eltroxinb
	Eutroxsiga
	Levothoxb
	Levothyroxine Lupa
	Levothyroxine Sandoza
	Oroxinea * Additional charge for this brand is $1.31B	1	200	1	$27.04	$27.18	$31.94

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

Note

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
2174KMPNP	LEVOTHYROXINE levothyroxine sodium 50 microgram tablet, 200 (PI, CMI)	1	200	1	$23.56	$25.01	$28.46
	Available brands
	APO-Levothyroxinea
	Eltroxinb
	Eutroxsiga
	Levothoxb
	Levothyroxine Lupa
	Levothyroxine Sandoza
	Oroxinea * Additional charge for this brand is $1.31B	1	200	1	$24.87	$25.01	$29.77

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

Note

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
2175LMPNP	LEVOTHYROXINE levothyroxine sodium 100 microgram tablet, 200 (PI, CMI)	1	200	1	$23.92	$25.37	$28.82
	Available brands
	APO-Levothyroxinea
	Eltroxinb
	Eutroxsiga
	Levothoxb
	Levothyroxine Lupa
	Levothyroxine Sandoza
	Oroxinea * Additional charge for this brand is $1.31B	1	200	1	$25.23	$25.37	$30.13

Source	General Schedule
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > THYROID THERAPY > THYROID PREPARATIONS

Note

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
9287TMPNP	LEVOTHYROXINE levothyroxine sodium 75 microgram tablet, 200 (PI, CMI)	1	200	1	$23.73	$25.18	$28.63
	Available brands
	APO-Levothyroxinea
	Eltroxinb
	Eutroxsiga
	Levothoxb
	Levothyroxine Lupa
	Levothyroxine Sandoza
	Oroxinea * Additional charge for this brand is $1.32B	1	200	1	$25.05	$25.18	$29.95