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
13449WMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	2	60	5	$21.58	$23.06	$25.00
	Available brands
	APO-OLMESARTAN/AMLODIPINE 20/5a
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 20/5a
	Olmesartan/Amlodipine - MYL 20/5a
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 20/5a
	Sevikar 20/5a * Additional charge for this brand is $8.00B	2	60	5	$29.58	$23.06	$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
13943WMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 (PI, CMI)	2	60	5	$25.76	$25.00	$25.00
	Available brands
	APO-OLMESARTAN/AMLODIPINE 40/10a
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 40/10a
	Olmesartan/Amlodipine - MYL 40/10a
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 40/10a
	Sevikar 40/10a * Additional charge for this brand is $8.00B	2	60	5	$33.76	$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
13964YMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	2	60	5	$24.94	$25.00	$25.00
	Available brands
	APO-OLMESARTAN/AMLODIPINE 40/5a
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 40/5a
	Olmesartan/Amlodipine - MYL 40/5a
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 40/5a
	Sevikar 40/5a * Additional charge for this brand is $8.00B	2	60	5	$32.94	$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
5292MMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	1	30	5	$17.68	$19.16	$21.95
	Available brands
	APO-OLMESARTAN/AMLODIPINE 20/5a
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 20/5a
	Olmesartan/Amlodipine - MYL 20/5a
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 20/5a
	Sevikar 20/5a * Additional charge for this brand is $4.00B	1	30	5	$21.68	$19.16	$25.95

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
5293NMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	1	30	5	$19.36	$20.84	$23.63
	Available brands
	APO-OLMESARTAN/AMLODIPINE 40/5a
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 40/5a
	Olmesartan/Amlodipine - MYL 40/5a
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 40/5a
	Sevikar 40/5a * Additional charge for this brand is $4.00B	1	30	5	$23.36	$20.84	$27.63

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
5294PMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 (PI, CMI)	1	30	5	$19.77	$21.25	$24.04
	Available brands
	APO-OLMESARTAN/AMLODIPINE 40/10a
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 40/10a
	Olmesartan/Amlodipine - MYL 40/10a
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 40/10a
	Sevikar 40/10a * Additional charge for this brand is $4.00B	1	30	5	$23.77	$21.25	$28.04