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
13449WMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	2	60	5	$21.25	$22.70	$26.15
	Available brands
	APO-OLMESARTAN/AMLODIPINE 20/5a
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 20/5a
	Olmesartan/Amlodipine - MYL 20/5a
	Olmesartan/Amlodipine 20/5 APOTEXa
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 20/5a
	Sevikar 20/5a * Additional charge for this brand is $6.00B	2	60	5	$27.25	$22.70	$32.15

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
13943WMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 (PI, CMI)	2	60	5	$25.43	$26.88	$30.33
	Available brands
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 40/10a
	Olmesartan/Amlodipine - MYL 40/10a
	Olmesartan/Amlodipine 40/10 APOTEXa
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 40/10a
	Sevikar 40/10a * Additional charge for this brand is $6.00B	2	60	5	$31.43	$26.88	$36.33

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
13964YMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	2	60	5	$24.61	$26.06	$29.51
	Available brands
	APO-OLMESARTAN/AMLODIPINE 40/5a
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 40/5a
	Olmesartan/Amlodipine - MYL 40/5a
	Olmesartan/Amlodipine 40/5 APOTEXa
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 40/5a
	Sevikar 40/5a * Additional charge for this brand is $6.00B	2	60	5	$30.61	$26.06	$35.51

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
5292MMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	1	30	5	$17.35	$18.80	$22.25
	Available brands
	APO-OLMESARTAN/AMLODIPINE 20/5a
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 20/5a
	Olmesartan/Amlodipine - MYL 20/5a
	Olmesartan/Amlodipine 20/5 APOTEXa
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 20/5a
	Sevikar 20/5a * Additional charge for this brand is $3.00B	1	30	5	$20.35	$18.80	$25.25

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
5293NMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 (PI, CMI)	1	30	5	$19.03	$20.48	$23.93
	Available brands
	APO-OLMESARTAN/AMLODIPINE 40/5a
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 40/5a
	Olmesartan/Amlodipine - MYL 40/5a
	Olmesartan/Amlodipine 40/5 APOTEXa
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 40/5a
	Sevikar 40/5a * Additional charge for this brand is $3.00B	1	30	5	$22.03	$20.48	$26.93

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
5294PMPNP	OLMESARTAN + AMLODIPINE olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 (PI, CMI)	1	30	5	$19.44	$20.89	$24.34
	Available brands
	OLMEKARa
	OLMESARTAN AMLODIPINE-WGR 40/10a
	Olmesartan/Amlodipine - MYL 40/10a
	Olmesartan/Amlodipine 40/10 APOTEXa
	Olmesartan/Amlodipine Sandoza
	Pharmacor Olmesartan Amlodipine 40/10a
	Sevikar 40/10a * Additional charge for this brand is $3.00B	1	30	5	$22.44	$20.89	$27.34