Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, COMBINATIONS

Caution

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
13381GMPNP	PERINDOPRIL + AMLODIPINE perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (PI, CMI)	2	60	5	$22.68	$24.16	$27.61
	Available brands
	APO-Perindopril Arginine/Amlodipine 5/10a
	APX-Perindopril Arginine/Amlodipine 5/10a
	Perindopril Arginine/Amlodipine-WGR 5/10a
	Reaptan 5/10a
	Coveram 5/10a * Additional charge for this brand is $22.78B	2	60	5	$45.46	$24.16	$50.39

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, COMBINATIONS

Caution

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
13382HMPNP	PERINDOPRIL + AMLODIPINE perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (PI, CMI)	2	60	5	$25.72	$27.20	$30.65
	Available brands
	APO-Perindopril Arginine/Amlodipine 10/10a
	APX-Perindopril Arginine/Amlodipine 10/10a
	Perindopril Arginine/Amlodipine-WGR 10/10a
	Reaptan 10/10a
	Coveram 10/10a * Additional charge for this brand is $23.70B	2	60	5	$49.42	$27.20	$54.35

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, COMBINATIONS

Caution

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
13478JMPNP	PERINDOPRIL + AMLODIPINE perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	2	60	5	$24.34	$25.82	$29.27
	Available brands
	APO-Perindopril Arginine/Amlodipine 10/5a
	APX-Perindopril Arginine/Amlodipine 10/5a
	Perindopril Arginine/Amlodipine-WGR 10/5a
	Reaptan 10/5a
	Coveram 10/5a * Additional charge for this brand is $23.08B	2	60	5	$47.42	$25.82	$52.35

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, COMBINATIONS

Caution

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
13508YMPNP	PERINDOPRIL + AMLODIPINE perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	2	60	5	$21.32	$22.80	$26.25
	Available brands
	APO-Perindopril Arginine/Amlodipine 5/5a
	APX-Perindopril Arginine/Amlodipine 5/5a
	Perindopril Arginine/Amlodipine-WGR 5/5a
	Reaptan 5/5a
	Coveram 5/5a * Additional charge for this brand is $22.16B	2	60	5	$43.48	$22.80	$48.41

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, COMBINATIONS

Caution

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
9346XMPNP	PERINDOPRIL + AMLODIPINE perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	1	30	5	$17.55	$19.03	$22.48
	Available brands
	APO-Perindopril Arginine/Amlodipine 5/5a
	APX-Perindopril Arginine/Amlodipine 5/5a
	Perindopril Arginine/Amlodipine-WGR 5/5a
	Reaptan 5/5a
	Coveram 5/5a * Additional charge for this brand is $11.08B	1	30	5	$28.63	$19.03	$33.56

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, COMBINATIONS

Caution

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
9347YMPNP	PERINDOPRIL + AMLODIPINE perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (PI, CMI)	1	30	5	$18.23	$19.71	$23.16
	Available brands
	APO-Perindopril Arginine/Amlodipine 5/10a
	APX-Perindopril Arginine/Amlodipine 5/10a
	Perindopril Arginine/Amlodipine-WGR 5/10a
	Reaptan 5/10a
	Coveram 5/10a * Additional charge for this brand is $11.39B	1	30	5	$29.62	$19.71	$34.55

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, COMBINATIONS

Caution

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
9348BMPNP	PERINDOPRIL + AMLODIPINE perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	1	30	5	$19.06	$20.54	$23.99
	Available brands
	APO-Perindopril Arginine/Amlodipine 10/5a
	APX-Perindopril Arginine/Amlodipine 10/5a
	Perindopril Arginine/Amlodipine-WGR 10/5a
	Reaptan 10/5a
	Coveram 10/5a * Additional charge for this brand is $11.54B	1	30	5	$30.60	$20.54	$35.53

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, COMBINATIONS

Caution

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
9349CMPNP	PERINDOPRIL + AMLODIPINE perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (PI, CMI)	1	30	5	$19.75	$21.23	$24.68
	Available brands
	APO-Perindopril Arginine/Amlodipine 10/10a
	APX-Perindopril Arginine/Amlodipine 10/10a
	Perindopril Arginine/Amlodipine-WGR 10/10a
	Reaptan 10/10a
	Coveram 10/10a * Additional charge for this brand is $11.85B	1	30	5	$31.60	$21.23	$36.53