DOXYCYCLINE

DOXYCYCLINE (14443E)

doxycycline 100 mg modified release capsule, 7
14443E
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe acne
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 8 Max qty units: 56 # of repeats: 2 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Doryx
*Additional charge for this brand is $22.00
 DPMQ: $58.28 Max safety net: $25.00 General Patient Charge: $47.00
Mayne Pharma Doxycycline
*Additional charge for this brand is $11.44
 DPMQ: $47.72 Max safety net: $25.00 General Patient Charge: $36.44