TELMISARTAN + AMLODIPINE

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
13450XMPNP
TELMISARTAN + AMLODIPINE
telmisartan 80 mg + amlodipine 5 mg tablet, 28 (PI, CMI)
2 56 5 $25.74 $27.22 $30.67
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $10.60B
2 56 5 $36.34 $27.22 $41.27
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TELMISARTAN + AMLODIPINE

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
13451YMPNP
TELMISARTAN + AMLODIPINE
telmisartan 80 mg + amlodipine 10 mg tablet, 28 (PI, CMI)
2 56 5 $27.02 $28.50 $31.60
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $10.60B
2 56 5 $37.62 $28.50 $42.20
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TELMISARTAN + AMLODIPINE

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
13483PMPNP
TELMISARTAN + AMLODIPINE
telmisartan 40 mg + amlodipine 5 mg tablet, 28 (PI, CMI)
2 56 5 $20.08 $21.56 $25.01
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $11.06B
2 56 5 $31.14 $21.56 $36.07
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TELMISARTAN + AMLODIPINE

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
13515HMPNP
TELMISARTAN + AMLODIPINE
telmisartan 40 mg + amlodipine 10 mg tablet, 28 (PI, CMI)
2 56 5 $21.32 $22.80 $26.25
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $10.98B
2 56 5 $32.30 $22.80 $37.23
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TELMISARTAN + AMLODIPINE

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
8978MMPNP TELMISARTAN + AMLODIPINE
telmisartan 40 mg + amlodipine 5 mg tablet, 28 (PI, CMI)
1 28 5 $16.93 $18.41 $21.86
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $5.53B
1 28 5 $22.46 $18.41 $27.39
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TELMISARTAN + AMLODIPINE

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
8979NMPNP TELMISARTAN + AMLODIPINE
telmisartan 40 mg + amlodipine 10 mg tablet, 28 (PI, CMI)
1 28 5 $17.55 $19.03 $22.48
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $5.49B
1 28 5 $23.04 $19.03 $27.97
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TELMISARTAN + AMLODIPINE

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
8980PMPNP TELMISARTAN + AMLODIPINE
telmisartan 80 mg + amlodipine 5 mg tablet, 28 (PI, CMI)
1 28 5 $19.76 $21.24 $24.69
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $5.30B
1 28 5 $25.06 $21.24 $29.99
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TELMISARTAN + AMLODIPINE

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
8981QMPNP TELMISARTAN + AMLODIPINE
telmisartan 80 mg + amlodipine 10 mg tablet, 28 (PI, CMI)
1 28 5 $20.40 $21.88 $25.33
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $5.30B
1 28 5 $25.70 $21.88 $30.63
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions