DOXYCYCLINE

DOXYCYCLINE (2707L)

doxycycline 50 mg modified release capsule, 25
2707L
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Bronchiectasis

Restriction

Indication: Chronic bronchitis

Restriction

Indication: Severe acne
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 25 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Doryx
*Additional charge for this brand is $4.74
 DPMQ: $22.01 Max safety net: $18.81 General Patient Charge: $26.34
Mayne Pharma Doxycycline
*Additional charge for this brand is $2.41
 DPMQ: $19.68 Max safety net: $18.81 General Patient Charge: $24.01