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
13393XMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	2	56	5	$27.14	$28.62	$31.60
	Available brands
	Co-Diovan 80/12.5a
	Dilart HCT 80/12.5a

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
13453CMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI)	2	56	5	$32.50	$31.60	$31.60
	Available brands
	Co-Diovan 160/25a
	Dilart HCT 160/25a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

Note

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
13455EMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI)	2	56	5	$36.52	$31.60	$31.60
	Available brands
	Co-Diovan 320/25a
	Dilart HCT 320/25a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

Note

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
13517KMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	2	56	5	$34.34	$31.60	$31.60
	Available brands
	Co-Diovan 320/12.5a
	Dilart HCT 320/12.5a

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
13606DMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	2	56	5	$30.30	$31.60	$31.60
	Available brands
	Co-Diovan 160/12.5a
	Dilart HCT 160/12.5a

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
9372GMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	1	28	5	$20.46	$21.94	$25.39
	Available brands
	Co-Diovan 80/12.5a
	Dilart HCT 80/12.5a

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
9373HMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	1	28	5	$22.04	$23.52	$26.97
	Available brands
	Co-Diovan 160/12.5a
	Dilart HCT 160/12.5a

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
9374JMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI)	1	28	5	$23.14	$24.62	$28.07
	Available brands
	Co-Diovan 160/25a
	Dilart HCT 160/25a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

Note

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
9481BMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	1	28	5	$24.06	$25.54	$28.99
	Available brands
	Co-Diovan 320/12.5a
	Dilart HCT 320/12.5a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

Note

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
9482CMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI)	1	28	5	$25.15	$26.63	$30.08
	Available brands
	Co-Diovan 320/25a
	Dilart HCT 320/25a