DOXYCYCLINE

doxycycline 100 mg tablet, 7

DOXYCYCLINE (10779H)

doxycycline 100 mg tablet, 7
10779H
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: 4 Max qty units: 28 # of repeats: 5 DPMQ: $24.56 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APX-Doxycycline
DOXYCYCLINE-WGR
Doxsig
Doxylin 100