DOXYCYCLINE

doxycycline 100 mg tablet, 7

DOXYCYCLINE (14480D)

doxycycline 100 mg tablet, 7
14480D
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: $35.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APX-Doxycycline
DOXYCYCLINE-WGR
Doxsig
Doxylin 100