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
13454DMPNP	AMLODIPINE + VALSARTAN amlodipine 10 mg + valsartan 160 mg tablet, 28 (PI, CMI)	2	56	5	$34.55	$31.60	$31.60
	Available brands
	Amlodipine/Valsartan Novartis 10/160a
	Exforge 10/160a * Additional charge for this brand is $8.00B	2	56	5	$42.55	$31.60	$39.60

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
9377MMPNP	AMLODIPINE + VALSARTAN amlodipine 10 mg + valsartan 160 mg tablet, 28 (PI, CMI)	1	28	5	$24.00	$25.45	$28.90
	Available brands
	Amlodipine/Valsartan Novartis 10/160a
	Exforge 10/160a * Additional charge for this brand is $4.00B	1	28	5	$28.00	$25.45	$32.90