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
13450XMPNP	TELMISARTAN + AMLODIPINE telmisartan 80 mg + amlodipine 5 mg tablet, 28 (PI, CMI)	2	56	5	$25.74	$25.00	$25.00
	Available brands
	ARX-Telmisartan/Amlodipinea
	Pritor/Amlodipinea
	Telmisartan/Amlodipine Viatrisa
	Twynstaa * Additional charge for this brand is $10.60B	2	56	5	$36.34	$25.00	$35.60

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
13451YMPNP	TELMISARTAN + AMLODIPINE telmisartan 80 mg + amlodipine 10 mg tablet, 28 (PI, CMI)	2	56	5	$27.02	$25.00	$25.00
	Available brands
	ARX-Telmisartan/Amlodipinea
	Pritor/Amlodipinea
	Telmisartan/Amlodipine Viatrisa
	Twynstaa * Additional charge for this brand is $10.60B	2	56	5	$37.62	$25.00	$35.60

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
13483PMPNP	TELMISARTAN + AMLODIPINE telmisartan 40 mg + amlodipine 5 mg tablet, 28 (PI, CMI)	2	56	5	$20.08	$21.56	$24.35
	Available brands
	ARX-Telmisartan/Amlodipinea
	Pritor/Amlodipinea
	Telmisartan/Amlodipine Viatrisa
	Twynstaa * Additional charge for this brand is $11.06B	2	56	5	$31.14	$21.56	$35.41

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
13515HMPNP	TELMISARTAN + AMLODIPINE telmisartan 40 mg + amlodipine 10 mg tablet, 28 (PI, CMI)	2	56	5	$21.32	$22.80	$25.00
	Available brands
	ARX-Telmisartan/Amlodipinea
	Pritor/Amlodipinea
	Telmisartan/Amlodipine Viatrisa
	Twynstaa * Additional charge for this brand is $10.98B	2	56	5	$32.30	$22.80	$35.98

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
8978MMPNP	TELMISARTAN + AMLODIPINE telmisartan 40 mg + amlodipine 5 mg tablet, 28 (PI, CMI)	1	28	5	$16.93	$18.41	$21.20
	Available brands
	ARX-Telmisartan/Amlodipinea
	Pritor/Amlodipinea
	Telmisartan/Amlodipine Viatrisa
	Twynstaa * Additional charge for this brand is $5.53B	1	28	5	$22.46	$18.41	$26.73

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
8979NMPNP	TELMISARTAN + AMLODIPINE telmisartan 40 mg + amlodipine 10 mg tablet, 28 (PI, CMI)	1	28	5	$17.55	$19.03	$21.82
	Available brands
	ARX-Telmisartan/Amlodipinea
	Pritor/Amlodipinea
	Telmisartan/Amlodipine Viatrisa
	Twynstaa * Additional charge for this brand is $5.49B	1	28	5	$23.04	$19.03	$27.31

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
8980PMPNP	TELMISARTAN + AMLODIPINE telmisartan 80 mg + amlodipine 5 mg tablet, 28 (PI, CMI)	1	28	5	$19.76	$21.24	$24.03
	Available brands
	ARX-Telmisartan/Amlodipinea
	Pritor/Amlodipinea
	Telmisartan/Amlodipine Viatrisa
	Twynstaa * Additional charge for this brand is $5.30B	1	28	5	$25.06	$21.24	$29.33

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
8981QMPNP	TELMISARTAN + AMLODIPINE telmisartan 80 mg + amlodipine 10 mg tablet, 28 (PI, CMI)	1	28	5	$20.40	$21.88	$24.67
	Available brands
	ARX-Telmisartan/Amlodipinea
	Pritor/Amlodipinea
	Telmisartan/Amlodipine Viatrisa
	Twynstaa * Additional charge for this brand is $5.30B	1	28	5	$25.70	$21.88	$29.97