LIDOCAINE

LIDOCAINE (10209H)

lidocaine hydrochloride monohydrate 1% (50 mg/5 mL) injection, 5 x 5 mL ampoules
10209H
Body System:
Manner of administration:Injection
Prescriber Bag
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 5 # of repeats: 0 DPMQ: $51.23 Max safety net: $0.00 General Patient Charge: Nil
Available brands
LIGNOCAINE INJECTION (BRIDGEWEST)

LIDOCAINE (2876J)

lidocaine hydrochloride 10% (500 mg/5 mL) injection, 10 x 5 mL ampoules
2876J
Body System:
Manner of administration:Injection
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 10 # of repeats: 0 DPMQ: $35.89 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Xylocard 500

LIDOCAINE (4308R)

lidocaine hydrochloride 2% oral liquid, 200 mL
4308R
Body System:
Manner of administration:Oral Application
Repatriation Pharmaceutical Benefits
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Xylocaine Viscous DPMQ: $105.91 Max safety net: $7.70 General Patient Charge: $7.70