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
13389QMPNP	AMLODIPINE + VALSARTAN amlodipine 10 mg + valsartan 320 mg tablet, 28 (PI, CMI)	2	56	5	$39.42	$31.60	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 10/320a
	Exforge 10/320a * Additional charge for this brand is $12.00B	2	56	5	$51.42	$31.60	$43.60

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
13421JMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 80 mg tablet, 28 (PI, CMI)	2	56	5	$29.76	$31.24	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 5/80a
	Exforge 5/80a * Additional charge for this brand is $12.00B	2	56	5	$41.76	$31.24	$43.60

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
13454DMPNP	AMLODIPINE + VALSARTAN amlodipine 10 mg + valsartan 160 mg tablet, 28 (PI, CMI)	2	56	5	$34.88	$31.60	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 10/160a
	Exforge 10/160a * Additional charge for this brand is $12.00B	2	56	5	$46.88	$31.60	$43.60

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
13516JMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 160 mg tablet, 28 (PI, CMI)	2	56	5	$33.82	$31.60	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 5/160a
	Exforge 5/160a * Additional charge for this brand is $12.00B	2	56	5	$45.82	$31.60	$43.60

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
13604BMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 320 mg tablet, 28 (PI, CMI)	2	56	5	$39.00	$31.60	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 5/320a
	Exforge 5/320a * Additional charge for this brand is $12.00B	2	56	5	$51.00	$31.60	$43.60

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
5459HMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 320 mg tablet, 28 (PI, CMI)	1	28	5	$26.39	$27.87	$31.32
	Available brands
	Amlodipine/Valsartan Novartis 5/320a
	Exforge 5/320a * Additional charge for this brand is $6.00B	1	28	5	$32.39	$27.87	$37.32

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
5460JMPNP	AMLODIPINE + VALSARTAN amlodipine 10 mg + valsartan 320 mg tablet, 28 (PI, CMI)	1	28	5	$26.60	$28.08	$31.53
	Available brands
	Amlodipine/Valsartan Novartis 10/320a
	Exforge 10/320a * Additional charge for this brand is $6.00B	1	28	5	$32.60	$28.08	$37.53

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
9375KMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 80 mg tablet, 28 (PI, CMI)	1	28	5	$21.77	$23.25	$26.70
	Available brands
	Amlodipine/Valsartan Novartis 5/80a
	Exforge 5/80a * Additional charge for this brand is $6.00B	1	28	5	$27.77	$23.25	$32.70