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	$38.61	$30.00	$30.00
	Available brands
	Amlodipine/Valsartan Novartis 10/320a
	Exforge 10/320a * Additional charge for this brand is $8.00B	2	56	5	$46.61	$30.00	$38.00

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	$28.95	$30.00	$30.00
	Available brands
	Amlodipine/Valsartan Novartis 5/80a
	Exforge 5/80a * Additional charge for this brand is $8.00B	2	56	5	$36.95	$30.00	$38.00

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	$34.07	$30.00	$30.00
	Available brands
	Amlodipine/Valsartan Novartis 10/160a
	Exforge 10/160a * Additional charge for this brand is $8.00B	2	56	5	$42.07	$30.00	$38.00

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	$33.01	$30.00	$30.00
	Available brands
	Amlodipine/Valsartan Novartis 5/160a
	Exforge 5/160a * Additional charge for this brand is $8.00B	2	56	5	$41.01	$30.00	$38.00

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	$38.19	$30.00	$30.00
	Available brands
	Amlodipine/Valsartan Novartis 5/320a
	Exforge 5/320a * Additional charge for this brand is $8.00B	2	56	5	$46.19	$30.00	$38.00

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	$25.59	$26.99	$30.00
	Available brands
	Amlodipine/Valsartan Novartis 5/320a
	Exforge 5/320a * Additional charge for this brand is $4.00B	1	28	5	$29.59	$26.99	$34.00

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	$25.80	$27.20	$30.00
	Available brands
	Amlodipine/Valsartan Novartis 10/320a
	Exforge 10/320a * Additional charge for this brand is $4.00B	1	28	5	$29.80	$27.20	$34.00

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	$20.97	$22.37	$25.66
	Available brands
	Amlodipine/Valsartan Novartis 5/80a
	Exforge 5/80a * Additional charge for this brand is $4.00B	1	28	5	$24.97	$22.37	$29.66

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
9376LMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 160 mg tablet, 28 (PI, CMI)	1	28	5	$23.00	$24.40	$27.69
	Available brands
	Amlodipine/Valsartan Novartis 5/160a
	Exforge 5/160a * Additional charge for this brand is $4.00B	1	28	5	$27.00	$24.40	$31.69