TELMISARTAN + AMLODIPINE

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
13450XMPNP
TELMISARTAN + AMLODIPINE
telmisartan 80 mg + amlodipine 5 mg tablet, 28 (PI, CMI)
2 56 5 $25.41 $26.86 $30.31
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $10.60B
2 56 5 $36.01 $26.86 $40.91
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TELMISARTAN + AMLODIPINE

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
13451YMPNP
TELMISARTAN + AMLODIPINE
telmisartan 80 mg + amlodipine 10 mg tablet, 28 (PI, CMI)
2 56 5 $26.69 $28.14 $31.59
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $10.60B
2 56 5 $37.29 $28.14 $42.19
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TELMISARTAN + AMLODIPINE

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
13483PMPNP
TELMISARTAN + AMLODIPINE
telmisartan 40 mg + amlodipine 5 mg tablet, 28 (PI, CMI)
2 56 5 $19.75 $21.20 $24.65
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $11.06B
2 56 5 $30.81 $21.20 $35.71
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TELMISARTAN + AMLODIPINE

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
13515HMPNP
TELMISARTAN + AMLODIPINE
telmisartan 40 mg + amlodipine 10 mg tablet, 28 (PI, CMI)
2 56 5 $20.99 $22.44 $25.89
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $10.98B
2 56 5 $31.97 $22.44 $36.87
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TELMISARTAN + AMLODIPINE

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
8978MMPNP TELMISARTAN + AMLODIPINE
telmisartan 40 mg + amlodipine 5 mg tablet, 28 (PI, CMI)
1 28 5 $16.60 $18.05 $21.50
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $5.53B
1 28 5 $22.13 $18.05 $27.03
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TELMISARTAN + AMLODIPINE

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
8979NMPNP TELMISARTAN + AMLODIPINE
telmisartan 40 mg + amlodipine 10 mg tablet, 28 (PI, CMI)
1 28 5 $17.22 $18.67 $22.12
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $5.49B
1 28 5 $22.71 $18.67 $27.61
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TELMISARTAN + AMLODIPINE

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
8980PMPNP TELMISARTAN + AMLODIPINE
telmisartan 80 mg + amlodipine 5 mg tablet, 28 (PI, CMI)
1 28 5 $19.43 $20.88 $24.33
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $5.30B
1 28 5 $24.73 $20.88 $29.63
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TELMISARTAN + AMLODIPINE

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
8981QMPNP TELMISARTAN + AMLODIPINE
telmisartan 80 mg + amlodipine 10 mg tablet, 28 (PI, CMI)
1 28 5 $20.07 $21.52 $24.97
Available brands
Pritor/Amlodipinea
Twynstaa
* Additional charge for this brand is $5.30B
1 28 5 $25.37 $21.52 $30.27
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions