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
13545XMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	2	60	5	$21.54	$23.02	$26.47
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 300/12.5a
	Abisart HCTZ 300/12.5a
	IRBESARTAN HCTZ-WGR 300/12.5a
	Irbesartan/HCT Sandoza
	Avapro HCT 300/12.5a * Additional charge for this brand is $8.06B	2	60	5	$29.60	$23.02	$34.53
	Karvezide 300/12.5a * Additional charge for this brand is $8.06B	2	60	5	$29.60	$23.02	$34.53