Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

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
5096FDP	DICLOXACILLIN dicloxacillin 250 mg capsule, 24 (PI, CMI)	1	24	0	$18.17	$19.62	$23.07
	Available brands
	DICLOXACILLIN VIATRIS 250a
	Dicloxacillin Mylan 250a
	Distaph 250a * Additional charge for this brand is $1.86B	1	24	0	$20.03	$19.62	$24.93

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

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
8121KMPMWNP	DICLOXACILLIN dicloxacillin 250 mg capsule, 24 (PI, CMI)	1	24	0	$18.17	$19.62	$23.07
	Available brands
	DICLOXACILLIN VIATRIS 250a
	Dicloxacillin Mylan 250a
	Distaph 250a * Additional charge for this brand is $1.86B	1	24	0	$20.03	$19.62	$24.93