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
2876JMPNP	LIDOCAINE lidocaine hydrochloride 10% (500 mg/5 mL) injection, 10 x 5 mL ampoules (PI, CMI)	1	10	0	$35.56	$31.60	$31.60
	Available brands
	Xylocard 500