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
2161RMPNP	OLMESARTAN + HYDROCHLOROTHIAZIDE olmesartan medoxomil 20 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	1	30	5	$17.12	$18.43	$22.97
	Available brands
	APO-Olmesartan/HCTZ 20/12.5a
	APX-Olmesartan/HCTZa
	OLMERTAN COMBI 20/12.5a
	Olmesartan HCT - MYL 20/12.5a
	Olmesartan/HCT Sandoza
	Pharmacor Olmesartan HCTZ 20/12.5a
	Olmetec Plusa * Additional charge for this brand is $1.51B	1	30	5	$18.63	$18.43	$24.48

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
2166BMPNP	OLMESARTAN + HYDROCHLOROTHIAZIDE olmesartan medoxomil 40 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	1	30	5	$21.24	$22.55	$27.09
	Available brands
	APO-Olmesartan/HCTZ 40/12.5a
	APX-Olmesartan/HCTZa
	OLMERTAN COMBI 40/12.5a
	Olmesartan HCT - MYL 40/12.5a
	Olmesartan/HCT Sandoza
	Pharmacor Olmesartan HCTZ 40/12.5a
	Olmetec Plusa * Additional charge for this brand is $5.00B	1	30	5	$26.24	$22.55	$32.09

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
2170FMPNP	OLMESARTAN + HYDROCHLOROTHIAZIDE olmesartan medoxomil 40 mg + hydrochlorothiazide 25 mg tablet, 30 (PI, CMI)	1	30	5	$22.43	$23.74	$28.28
	Available brands
	APO-Olmesartan/HCTZ 40/25a
	APX-Olmesartan/HCTZa
	OLMERTAN COMBI 40/25a
	Olmesartan HCT - MYL 40/25a
	Olmesartan/HCT Sandoza
	Pharmacor Olmesartan HCTZ 40/25a
	Olmetec Plusa * Additional charge for this brand is $3.50B	1	30	5	$25.93	$23.74	$31.78