Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

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
13446QMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (PI, CMI)	2	60	5	$21.41	$22.81	$26.26
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 300/25a
	Abisart HCTZ 300/25a
	Blooms the Chemist Irbesartan HCTZ 300/25a
	Irbesartan/HCT Sandoza
	Avapro HCT 300/25a * Additional charge for this brand is $6.24B	2	60	5	$27.65	$22.81	$32.50
	Karvezide 300/25a * Additional charge for this brand is $6.24B	2	60	5	$27.65	$22.81	$32.50

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

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
13545XMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	2	60	5	$20.73	$22.13	$25.58
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 300/12.5a
	Abisart HCTZ 300/12.5a
	Blooms the Chemist Irbesartan HCTZ 300/12.5a
	Irbesartan/HCT Sandoza
	Avapro HCT 300/12.5a * Additional charge for this brand is $6.24B	2	60	5	$26.97	$22.13	$31.82
	Karvezide 300/12.5a * Additional charge for this brand is $6.24B	2	60	5	$26.97	$22.13	$31.82

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

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
13572HMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	2	60	5	$18.41	$19.81	$23.26
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 150/12.5a
	Abisart HCTZ 150/12.5a
	Blooms the Chemist Irbesartan HCTZ 150/12.5a
	Irbesartan/HCT Sandoza
	Avapro HCT 150/12.5a * Additional charge for this brand is $6.20B	2	60	5	$24.61	$19.81	$29.46
	Karvezide 150/12.5a * Additional charge for this brand is $6.20B	2	60	5	$24.61	$19.81	$29.46

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

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
2136KMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (PI, CMI)	1	30	5	$17.20	$18.60	$22.05
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 300/25a
	Abisart HCTZ 300/25a
	Blooms the Chemist Irbesartan HCTZ 300/25a
	Irbesartan/HCT Sandoza
	Avapro HCT 300/25a * Additional charge for this brand is $3.12B	1	30	5	$20.32	$18.60	$25.17
	Karvezide 300/25a * Additional charge for this brand is $3.12B	1	30	5	$20.32	$18.60	$25.17

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

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
8404HMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	1	30	5	$15.70	$17.10	$20.55
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 150/12.5a
	Abisart HCTZ 150/12.5a
	Blooms the Chemist Irbesartan HCTZ 150/12.5a
	Irbesartan/HCT Sandoza
	Avapro HCT 150/12.5a * Additional charge for this brand is $3.10B	1	30	5	$18.80	$17.10	$23.65
	Karvezide 150/12.5a * Additional charge for this brand is $3.10B	1	30	5	$18.80	$17.10	$23.65

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

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
8405JMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	1	30	5	$16.86	$18.26	$21.71
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 300/12.5a
	Abisart HCTZ 300/12.5a
	Blooms the Chemist Irbesartan HCTZ 300/12.5a
	Irbesartan/HCT Sandoza
	Avapro HCT 300/12.5a * Additional charge for this brand is $3.12B	1	30	5	$19.98	$18.26	$24.83
	Karvezide 300/12.5a * Additional charge for this brand is $3.12B	1	30	5	$19.98	$18.26	$24.83