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

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
2043MMPNP	SOTALOL sotalol hydrochloride 160 mg tablet, 60 (PI, CMI)	1	60	5	$20.37	$21.82	$25.27
	Available brands
	APX-Sotalola
	Cardola
	SOTALOL-WGRa
	Solaverta
	Sotalol Sandoza
	Sotacora * Additional charge for this brand is $4.99B	1	60	5	$25.36	$21.82	$30.26

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

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
8398BMPNP	SOTALOL sotalol hydrochloride 80 mg tablet, 60 (PI, CMI)	1	60	5	$17.36	$18.81	$22.26
	Available brands
	APX-Sotalola
	Cardola
	SOTALOL-WGRa
	Solaverta
	Sotalol Sandoza
	Sotacora * Additional charge for this brand is $4.58B	1	60	5	$21.94	$18.81	$26.84