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
13572HMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	2	60	5	$19.22	$20.70	$24.15
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 150/12.5a
	Abisart HCTZ 150/12.5a
	Blooms the Chemist Irbesartan HCTZ 150/12.5a
	IRBESARTAN HCTZ-WGR 150/12.5a
	Irbesartan/HCT Sandoza
	Avapro HCT 150/12.5a * Additional charge for this brand is $7.00B	2	60	5	$26.22	$20.70	$31.15
	Karvezide 150/12.5a * Additional charge for this brand is $7.00B	2	60	5	$26.22	$20.70	$31.15

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
8404HMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	1	30	5	$16.50	$17.98	$21.43
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 150/12.5a
	Abisart HCTZ 150/12.5a
	Blooms the Chemist Irbesartan HCTZ 150/12.5a
	IRBESARTAN HCTZ-WGR 150/12.5a
	Irbesartan/HCT Sandoza
	Avapro HCT 150/12.5a * Additional charge for this brand is $3.50B	1	30	5	$20.00	$17.98	$24.93
	Karvezide 150/12.5a * Additional charge for this brand is $3.50B	1	30	5	$20.00	$17.98	$24.93