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	$25.00	$25.00
	Available brands
	Amlodipine/Valsartan Novartis 10/320a
	Exforge 10/320a * Additional charge for this brand is $16.00B	2	56	5	$55.42	$25.00	$41.00

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	$25.00	$25.00
	Available brands
	Amlodipine/Valsartan Novartis 5/80a
	Exforge 5/80a * Additional charge for this brand is $16.00B	2	56	5	$45.76	$25.00	$41.00

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	$25.00	$25.00
	Available brands
	Amlodipine/Valsartan Novartis 10/160a
	Exforge 10/160a * Additional charge for this brand is $16.00B	2	56	5	$50.88	$25.00	$41.00

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	$25.00	$25.00
	Available brands
	Amlodipine/Valsartan Novartis 5/160a
	Exforge 5/160a * Additional charge for this brand is $16.00B	2	56	5	$49.82	$25.00	$41.00

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	$25.00	$25.00
	Available brands
	Amlodipine/Valsartan Novartis 5/320a
	Exforge 5/320a * Additional charge for this brand is $16.00B	2	56	5	$55.00	$25.00	$41.00

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	$25.00	$25.00
	Available brands
	Amlodipine/Valsartan Novartis 5/320a
	Exforge 5/320a * Additional charge for this brand is $8.00B	1	28	5	$34.39	$25.00	$33.00

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	$25.00	$25.00
	Available brands
	Amlodipine/Valsartan Novartis 10/320a
	Exforge 10/320a * Additional charge for this brand is $8.00B	1	28	5	$34.60	$25.00	$33.00

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	$25.00
	Available brands
	Amlodipine/Valsartan Novartis 5/80a
	Exforge 5/80a * Additional charge for this brand is $8.00B	1	28	5	$29.77	$23.25	$33.00