Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II ANTAGONISTS, 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 Price
8622TMPNP	TELMISARTAN + HYDROCHLOROTHIAZIDE telmisartan 40 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	1	28	5	$13.37	$14.58	$18.96
	Available brands
	APO-Telmisartan HCTZ 40/12.5a
	Chem mart Telmisartan HCTZ 40/12.5a
	Mizart HCT 40/12.5 mga
	Pritor Plus 40/12.5 mga
	Telmisartan HCT GH 40/12.5a
	Telmisartan HCTZ AN 40/12.5a
	Telmisartan/HCT Sandoza
	Teltartan HCT 40/12.5a
	Terry White Chemists Telmisartan HCTZ 40/12.5a
	Micardis Plus 40/12.5 mga * Additional charge for this brand is $2.69B	1	28	5	$16.06	$14.58	$21.65