Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > ANTIARRHYTHMICS, CLASS I AND III

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
13280YMPNP	DISOPYRAMIDE disopyramide 100 mg capsule, 84 (PI, CMI)	1.19	100	5	$87.21	$31.60	$31.60
	Available brands
	Rythmodan (Canada)a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > ANTIARRHYTHMICS, CLASS I AND III

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
2923WMPNP	DISOPYRAMIDE disopyramide 100 mg capsule, 100 (PI, CMI)	1	100	5	$25.93	$27.38	$30.83
	Available brands
	Rythmodana