TELMISARTAN + HYDROCHLOROTHIAZIDE

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS
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
8622TMPNP TELMISARTAN + HYDROCHLOROTHIAZIDE
telmisartan 40 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)
1 28 5 $14.67 $15.98 $20.52
Available brands
APO-Telmisartan HCTZ 40/12.5a
Mizart HCT 40/12.5 mga
Telmisartan HCT GH 40/12.5a
Telmisartan/HCT Sandoza
Teltartan HCT 40/12.5a
Micardis Plus 40/12.5 mga
* Additional charge for this brand is $5.30B
1 28 5 $19.97 $15.98 $25.82
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TELMISARTAN + HYDROCHLOROTHIAZIDE

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS
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
8623WMPNP TELMISARTAN + HYDROCHLOROTHIAZIDE
telmisartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)
1 28 5 $17.84 $19.15 $23.69
Available brands
APO-Telmisartan HCTZ 80/12.5a
Mizart HCT 80/12.5 mga
Telmisartan HCT GH 80/12.5a
Telmisartan/HCT Sandoza
Teltartan HCT 80/12.5a
Micardis Plus 80/12.5 mga
* Additional charge for this brand is $5.30B
1 28 5 $23.14 $19.15 $28.99
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TELMISARTAN + HYDROCHLOROTHIAZIDE

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS
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
9381RMPNP TELMISARTAN + HYDROCHLOROTHIAZIDE
telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI)
1 28 5 $18.33 $19.64 $24.18
Available brands
APO-Telmisartan HCTZ 80/25a
Mizart HCT 80/25 mga
Telmisartan HCT GH 80/25a
Telmisartan/HCT Sandoza
Teltartan HCT 80/25a
Micardis Plus 80/25 mga
* Additional charge for this brand is $5.30B
1 28 5 $23.63 $19.64 $29.48
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner