Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
10134JMP	MACITENTAN macitentan 10 mg tablet, 30 (PI, CMI)	1	30	5	$2347.92	$31.60	$31.60
	Available brands
	Opsumit

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
10136LMP	MACITENTAN macitentan 10 mg tablet, 30 (PI, CMI)	1	30	5	$2299.25	$31.60	$31.60
	Available brands
	Opsumit

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
11028KMP	RIOCIGUAT riociguat 1 mg tablet, 42 (PI, CMI)	1	42	0	$1680.49	$31.60	$31.60
	Available brands
	Adempas

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
11031NMP	RIOCIGUAT riociguat 500 microgram tablet, 42 (PI, CMI)	1	42	0	$1680.49	$31.60	$31.60
	Available brands
	Adempas

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
11038YMP	RIOCIGUAT riociguat 2 mg tablet, 42 (PI, CMI)	1	42	0	$1631.82	$31.60	$31.60
	Available brands
	Adempas

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
11040CMP	RIOCIGUAT riociguat 500 microgram tablet, 42 (PI, CMI)	1	42	0	$1631.82	$31.60	$31.60
	Available brands
	Adempas

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
11045HMP	RIOCIGUAT riociguat 2 mg tablet, 42 (PI, CMI)	1	42	0	$1680.49	$31.60	$31.60
	Available brands
	Adempas

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
11046JMP	RIOCIGUAT riociguat 1.5 mg tablet, 42 (PI, CMI)	1	42	0	$1680.49	$31.60	$31.60
	Available brands
	Adempas

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
11047KMP	RIOCIGUAT riociguat 1.5 mg tablet, 42 (PI, CMI)	1	42	0	$1631.82	$31.60	$31.60
	Available brands
	Adempas

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
11052QMP	RIOCIGUAT riociguat 2.5 mg tablet, 42 (PI, CMI)	1	42	0	$1680.49	$31.60	$31.60
	Available brands
	Adempas

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
11054TMP	RIOCIGUAT riociguat 1 mg tablet, 42 (PI, CMI)	1	42	0	$1631.82	$31.60	$31.60
	Available brands
	Adempas

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
11057YMP	RIOCIGUAT riociguat 2.5 mg tablet, 42 (PI, CMI)	1	42	0	$1631.82	$31.60	$31.60
	Available brands
	Adempas

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
1304PMP	TADALAFIL tadalafil 20 mg tablet, 56 (PI, CMI)	1	56	5	$503.23	$31.60	$31.60
	Available brands
	Adcircaa
	TADALIS 20a
	Tadalcaa

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
1308WMP	TADALAFIL tadalafil 20 mg tablet, 56 (PI, CMI)	1	56	5	$475.54	$31.60	$31.60
	Available brands
	Adcircaa
	TADALIS 20a
	Tadalcaa

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
14229XMP	TADALAFIL tadalafil 20 mg tablet, 60 (PI, CMI)	1	60	5	$538.56	$31.60	$31.60
	Available brands
	Tadalis 20

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
14281PMP	TADALAFIL tadalafil 20 mg tablet, 60 (PI, CMI)	1	60	5	$509.51	$31.60	$31.60
	Available brands
	Tadalis 20

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
14785EMP	MACITENTAN + TADALAFIL macitentan 10 mg + tadalafil 40 mg tablet, 30 (PI, CMI)	1	30	5	$2552.08	$31.60	$31.60
	Available brands
	Opsynvi

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
14828KMP	MACITENTAN + TADALAFIL macitentan 10 mg + tadalafil 40 mg tablet, 30 (PI, CMI)	1	30	5	$2600.75	$31.60	$31.60
	Available brands
	Opsynvi

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
5607DMP	AMBRISENTAN ambrisentan 5 mg tablet, 30 (PI, CMI)	1	30	5	$1381.53	$31.60	$31.60
	Available brands
	Ambrisentan Viatrisa
	Cipla Ambrisentana
	PULMORISa
	Volibrisa

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
5608EMP	AMBRISENTAN ambrisentan 10 mg tablet, 30 (PI, CMI)	1	30	5	$1381.53	$31.60	$31.60
	Available brands
	Ambrisentan Viatrisa
	Cipla Ambrisentana
	PULMORISa
	Volibrisa

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
5618QMP	BOSENTAN bosentan 62.5 mg tablet, 60 (PI, CMI)	1	60	5	$169.30	$31.60	$31.60
	Available brands
	BOSENTAN DR.REDDY'Sa
	Bosentan APOa
	Bosentan Mylana
	Bosentan RBXa

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
5619RMP	BOSENTAN bosentan 125 mg tablet, 60 (PI, CMI)	1	60	5	$169.30	$31.60	$31.60
	Available brands
	BOSENTAN DR.REDDY'Sa
	Bosentan APOa
	Bosentan GHa
	Bosentan Mylana
	Bosentan RBXa
	Bosentan Viatrisa

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
5751QMP	ILOPROST iloprost 20 microgram/2 mL inhalation solution, 30 x 2 mL ampoules (PI, CMI)	1	30	5	$349.59	$31.60	$31.60
	Available brands
	Ventavis

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
6429JMP	BOSENTAN bosentan 62.5 mg tablet, 60 (PI, CMI)	1	60	5	$184.74	$31.60	$31.60
	Available brands
	BOSENTAN DR.REDDY'Sa
	Bosentan APOa
	Bosentan Mylana
	Bosentan RBXa

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
6430KMP	BOSENTAN bosentan 125 mg tablet, 60 (PI, CMI)	1	60	5	$184.74	$31.60	$31.60
	Available brands
	BOSENTAN DR.REDDY'Sa
	Bosentan APOa
	Bosentan GHa
	Bosentan Mylana
	Bosentan RBXa
	Bosentan Viatrisa

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
6456TMP	ILOPROST iloprost 20 microgram/2 mL inhalation solution, 30 x 2 mL ampoules (PI, CMI)	1	30	5	$372.24	$31.60	$31.60
	Available brands
	Ventavis

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
9547LMP	SILDENAFIL sildenafil 20 mg tablet, 90 (PI, CMI)	1	90	5	$95.81	$31.60	$31.60
	Available brands
	Revatioa
	SILDATIO PHTa
	Sildenafil PHT APOTEXa
	Sildenafil Sandoz PHT 20a

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Note

Authority Required

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
9605MMP	SILDENAFIL sildenafil 20 mg tablet, 90 (PI, CMI)	1	90	5	$108.48	$31.60	$31.60
	Available brands
	Revatioa
	SILDATIO PHTa
	Sildenafil PHT APOTEXa
	Sildenafil Sandoz PHT 20a

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
9648TMP	AMBRISENTAN ambrisentan 5 mg tablet, 30 (PI, CMI)	1	30	5	$1430.20	$31.60	$31.60
	Available brands
	Ambrisentan Viatrisa
	Cipla Ambrisentana
	PULMORISa
	Volibrisa

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

Caution

Note

Authority Required

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
9649WMP	AMBRISENTAN ambrisentan 10 mg tablet, 30 (PI, CMI)	1	30	5	$1430.20	$31.60	$31.60
	Available brands
	Ambrisentan Viatrisa
	Cipla Ambrisentana
	PULMORISa
	Volibrisa