Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN

Caution

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
13583XMPNP	LISINOPRIL lisinopril 5 mg tablet, 30 (PI, CMI)	2	60	5	$18.91	$20.36	$23.81
	Available brands
	APO-Lisinoprila
	Fibsol 5a
	LISINOPRIL-WGRa
	Lisinopril Sandoza
	Zinopril 5a
	Zestrila * Additional charge for this brand is $9.64B	2	60	5	$28.55	$20.36	$33.45