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
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

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
13453CMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI)	2	56	5	$32.17	$31.60	$31.60
	Available brands
	Co-Diovan 160/25a
	Dilart HCT 160/25a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

Note

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
13455EMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI)	2	56	5	$36.19	$31.60	$31.60
	Available brands
	Co-Diovan 320/25a
	Dilart HCT 320/25a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

Note

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
13517KMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	2	56	5	$34.01	$31.60	$31.60
	Available brands
	Co-Diovan 320/12.5a
	Dilart HCT 320/12.5a

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
13606DMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	2	56	5	$29.97	$31.42	$31.60
	Available brands
	Co-Diovan 160/12.5a
	Dilart HCT 160/12.5a

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
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

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
9373HMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	1	28	5	$21.71	$23.16	$26.61
	Available brands
	Co-Diovan 160/12.5a
	Dilart HCT 160/12.5a

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
9374JMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI)	1	28	5	$22.81	$24.26	$27.71
	Available brands
	Co-Diovan 160/25a
	Dilart HCT 160/25a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

Note

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
9481BMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	1	28	5	$23.73	$25.18	$28.63
	Available brands
	Co-Diovan 320/12.5a
	Dilart HCT 320/12.5a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

Note

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
9482CMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI)	1	28	5	$24.82	$26.27	$29.72
	Available brands
	Co-Diovan 320/25a
	Dilart HCT 320/25a