AMLODIPINE + VALSARTAN

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
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
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AMLODIPINE + VALSARTAN

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
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
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AMLODIPINE + VALSARTAN

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
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
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AMLODIPINE + VALSARTAN

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
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
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AMLODIPINE + VALSARTAN

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
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
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AMLODIPINE + VALSARTAN

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
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
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AMLODIPINE + VALSARTAN

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
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
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AMLODIPINE + VALSARTAN

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
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
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AMLODIPINE + VALSARTAN

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
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
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner