Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > DIURETICS > LOW-CEILING DIURETICS, THIAZIDES

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
13409RMPNP	HYDROCHLOROTHIAZIDE hydrochlorothiazide 25 mg tablet, 100 (PI, CMI)	2	200	1	$30.10	$31.58	$31.60
	Available brands
	Dithiazide

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > DIURETICS > LOW-CEILING DIURETICS, THIAZIDES

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
1484DMPNP	HYDROCHLOROTHIAZIDE hydrochlorothiazide 25 mg tablet, 100 (PI, CMI)	1	100	1	$21.94	$23.42	$26.87
	Available brands
	Dithiazide