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
13389QMPNP	AMLODIPINE + VALSARTAN amlodipine 10 mg + valsartan 320 mg tablet, 28 (PI, CMI)	2	56	5	$39.09	$31.60	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 10/320a
	Exforge 10/320a * Additional charge for this brand is $8.00B	2	56	5	$47.09	$31.60	$39.60

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
13421JMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 80 mg tablet, 28 (PI, CMI)	2	56	5	$29.43	$30.88	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 5/80a
	Exforge 5/80a * Additional charge for this brand is $8.00B	2	56	5	$37.43	$30.88	$39.60

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
13454DMPNP	AMLODIPINE + VALSARTAN amlodipine 10 mg + valsartan 160 mg tablet, 28 (PI, CMI)	2	56	5	$34.55	$31.60	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 10/160a
	Exforge 10/160a * Additional charge for this brand is $8.00B	2	56	5	$42.55	$31.60	$39.60

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
13516JMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 160 mg tablet, 28 (PI, CMI)	2	56	5	$33.49	$31.60	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 5/160a
	Exforge 5/160a * Additional charge for this brand is $8.00B	2	56	5	$41.49	$31.60	$39.60

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
13604BMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 320 mg tablet, 28 (PI, CMI)	2	56	5	$38.67	$31.60	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 5/320a
	Exforge 5/320a * Additional charge for this brand is $8.00B	2	56	5	$46.67	$31.60	$39.60

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
5459HMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 320 mg tablet, 28 (PI, CMI)	1	28	5	$26.06	$27.51	$30.96
	Available brands
	Amlodipine/Valsartan Novartis 5/320a
	Exforge 5/320a * Additional charge for this brand is $4.00B	1	28	5	$30.06	$27.51	$34.96

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
5460JMPNP	AMLODIPINE + VALSARTAN amlodipine 10 mg + valsartan 320 mg tablet, 28 (PI, CMI)	1	28	5	$26.27	$27.72	$31.17
	Available brands
	Amlodipine/Valsartan Novartis 10/320a
	Exforge 10/320a * Additional charge for this brand is $4.00B	1	28	5	$30.27	$27.72	$35.17

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
9375KMPNP	AMLODIPINE + VALSARTAN amlodipine 5 mg + valsartan 80 mg tablet, 28 (PI, CMI)	1	28	5	$21.44	$22.89	$26.34
	Available brands
	Amlodipine/Valsartan Novartis 5/80a
	Exforge 5/80a * Additional charge for this brand is $4.00B	1	28	5	$25.44	$22.89	$30.34