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
2136KMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (PI, CMI)	1	30	5	$18.00	$19.48	$22.93
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 300/25a
	Abisart HCTZ 300/25a
	IRBESARTAN HCTZ-WGR 300/25a
	Irbesartan/HCT Sandoza
	Avapro HCT 300/25a * Additional charge for this brand is $4.04B	1	30	5	$22.04	$19.48	$26.97
	Karvezide 300/25a * Additional charge for this brand is $4.04B	1	30	5	$22.04	$19.48	$26.97