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
13446QMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (PI, CMI)	2	60	5	$21.89	$23.34	$26.79
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 300/25a
	Abisart HCTZ 300/25a
	Blooms the Chemist Irbesartan HCTZ 300/25a
	IRBESARTAN HCTZ-WGR 300/25a
	Irbesartan/HCT Sandoza
	Avapro HCT 300/25a * Additional charge for this brand is $7.00B	2	60	5	$28.89	$23.34	$33.79
	Karvezide 300/25a * Additional charge for this brand is $7.00B	2	60	5	$28.89	$23.34	$33.79

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
13545XMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	2	60	5	$21.21	$22.66	$26.11
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 300/12.5a
	Abisart HCTZ 300/12.5a
	Blooms the Chemist Irbesartan HCTZ 300/12.5a
	IRBESARTAN HCTZ-WGR 300/12.5a
	Irbesartan/HCT Sandoza
	Avapro HCT 300/12.5a * Additional charge for this brand is $7.00B	2	60	5	$28.21	$22.66	$33.11
	Karvezide 300/12.5a * Additional charge for this brand is $7.00B	2	60	5	$28.21	$22.66	$33.11

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	$18.89	$20.34	$23.79
	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	$25.89	$20.34	$30.79
	Karvezide 150/12.5a * Additional charge for this brand is $7.00B	2	60	5	$25.89	$20.34	$30.79

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
2136KMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (PI, CMI)	1	30	5	$17.67	$19.12	$22.57
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 300/25a
	Abisart HCTZ 300/25a
	Blooms the Chemist Irbesartan HCTZ 300/25a
	IRBESARTAN HCTZ-WGR 300/25a
	Irbesartan/HCT Sandoza
	Avapro HCT 300/25a * Additional charge for this brand is $3.50B	1	30	5	$21.17	$19.12	$26.07
	Karvezide 300/25a * Additional charge for this brand is $3.50B	1	30	5	$21.17	$19.12	$26.07

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	$16.17	$17.62	$21.07
	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	$19.67	$17.62	$24.57
	Karvezide 150/12.5a * Additional charge for this brand is $3.50B	1	30	5	$19.67	$17.62	$24.57

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
8405JMPNP	IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	1	30	5	$17.33	$18.78	$22.23
	Available brands
	APO-Irbesartan HCTZa
	AVSARTAN HCT 300/12.5a
	Abisart HCTZ 300/12.5a
	Blooms the Chemist Irbesartan HCTZ 300/12.5a
	IRBESARTAN HCTZ-WGR 300/12.5a
	Irbesartan/HCT Sandoza
	Avapro HCT 300/12.5a * Additional charge for this brand is $3.50B	1	30	5	$20.83	$18.78	$25.73
	Karvezide 300/12.5a * Additional charge for this brand is $3.50B	1	30	5	$20.83	$18.78	$25.73