Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > TETRACYCLINES

Note

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
10777FMP	DOXYCYCLINE doxycycline 100 mg modified release capsule, 7 (PI, CMI)
	Available brands
	Doryxa * Additional charge for this brand is $11.80B	4	28	5	$36.03	$25.68	$40.93
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $6.16B	4	28	5	$30.39	$25.68	$35.29

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > TETRACYCLINES

Note

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
14443EMP	DOXYCYCLINE doxycycline 100 mg modified release capsule, 7 (PI, CMI)
	Available brands
	Doryxa * Additional charge for this brand is $23.60B	8	56	2	$58.59	$31.60	$55.20
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $12.32B	8	56	2	$47.31	$31.60	$43.92

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > TETRACYCLINES

Note

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
2703GMPNP	DOXYCYCLINE doxycycline 100 mg modified release capsule, 7 (PI, CMI)
	Available brands
	Doryxa * Additional charge for this brand is $11.80B	4	28	0	$36.03	$25.68	$40.93
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $6.16B	4	28	0	$30.39	$25.68	$35.29

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > TETRACYCLINES

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
2708MMPNP	DOXYCYCLINE doxycycline 100 mg modified release capsule, 7 (PI, CMI)
	Available brands
	Doryxa * Additional charge for this brand is $2.95B	1	7	1	$19.10	$17.60	$24.00
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $1.54B	1	7	1	$17.69	$17.60	$22.59

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > TETRACYCLINES

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
3322WDP	DOXYCYCLINE doxycycline 100 mg modified release capsule, 7 (PI, CMI)
	Available brands
	Doryxa * Additional charge for this brand is $2.95B	1	7	0	$19.10	$17.60	$24.00
	Mayne Pharma Doxycyclinea * Additional charge for this brand is $1.54B	1	7	0	$17.69	$17.60	$22.59