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
9381RMPNP	TELMISARTAN + HYDROCHLOROTHIAZIDE telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI)	1	28	5	$17.28	$18.49	$22.87
	Available brands
	APO-Telmisartan HCTZ 80/25a
	Chem mart Telmisartan HCTZ 80/25a
	Mizart HCT 80/25 mga
	Pritor Plus 80/25 mga
	Telmisartan HCT GH 80/25a
	Telmisartan HCTZ AN 80/25a
	Telmisartan/HCT Sandoza
	Teltartan HCT 80/25a
	Terry White Chemists Telmisartan HCTZ 80/25a
	Micardis Plus 80/25 mga * Additional charge for this brand is $2.69B	1	28	5	$19.97	$18.49	$25.56