VALSARTAN + 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
13393XMPNP
VALSARTAN + HYDROCHLOROTHIAZIDE
valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)
2 56 5 $26.81 $28.26 $31.60
Available brands
Co-Diovan 80/12.5a
Dilart HCT 80/12.5a
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VALSARTAN + 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
9372GMPNP VALSARTAN + HYDROCHLOROTHIAZIDE
valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)
1 28 5 $20.13 $21.58 $25.03
Available brands
Co-Diovan 80/12.5a
Dilart HCT 80/12.5a
space


  • Legend
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions