Source	Repatriation Pharmaceutical Benefits
Body System	DERMATOLOGICALS > ANTIPRURITICS, INCL. ANTIHISTAMINES, ANESTHETICS, ETC. > ANTIPRURITICS, INCL. ANTIHISTAMINES, ANESTHETICS, ETC.

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
4308RMP	LIDOCAINER lidocaine hydrochloride 2% oral liquid, 200 mL (PI, CMI)
	Available brands
	Xylocaine Viscous	1	1	0	$105.58	$7.70	$7.70