OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS
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
10005NMPNP OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE
olmesartan medoxomil 20 mg + amlodipine 5 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)
1 30 5 $18.13 $19.44 $23.98
Available brands
APO-Olmesartan/Amlodipine/HCTZ 20/5/12.5a
Olmekar HCT 20/5/12.5a
Sevikar HCT 20/5/12.5a
* Additional charge for this brand is $3.00B
1 30 5 $21.13 $19.44 $26.98
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OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS
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
2836GMPNP OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE
olmesartan medoxomil 40 mg + amlodipine 10 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)
1 30 5 $22.83 $24.14 $28.68
Available brands
APO-Olmesartan/Amlodipine/HCTZ 40/10/12.5a
Olmekar HCT 40/10/12.5a
Sevikar HCT 40/10/12.5a
* Additional charge for this brand is $3.00B
1 30 5 $25.83 $24.14 $31.68
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OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS
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
2864RMPNP OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE
olmesartan medoxomil 40 mg + amlodipine 5 mg + hydrochlorothiazide 25 mg tablet, 30 (PI, CMI)
1 30 5 $23.78 $25.09 $29.63
Available brands
APO-Olmesartan/Amlodipine/HCTZ 40/5/25 tableta
Olmekar HCT 40/5/25a
Sevikar HCT 40/5/25a
* Additional charge for this brand is $3.00B
1 30 5 $26.78 $25.09 $32.63
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OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS
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
2880NMPNP OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE
olmesartan medoxomil 40 mg + amlodipine 5 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)
1 30 5 $22.21 $23.52 $28.06
Available brands
APO-Olmesartan/Amlodipine/HCTZ 40/5/12.5 tableta
Olmekar HCT 40/5/12.5a
Sevikar HCT 40/5/12.5a
* Additional charge for this brand is $3.00B
1 30 5 $25.21 $23.52 $31.06
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OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS
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
2953KMPNP OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE
olmesartan medoxomil 40 mg + amlodipine 10 mg + hydrochlorothiazide 25 mg tablet, 30 (PI, CMI)
1 30 5 $24.40 $25.71 $30.25
Available brands
APO-Olmesartan/Amlodipine/HCTZ 40/10/25a
Olmekar HCT 40/10/25a
Sevikar HCT 40/10/25a
* Additional charge for this brand is $3.00B
1 30 5 $27.40 $25.71 $33.25
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner