Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > DIURETICS > LOW-CEILING DIURETICS, EXCL. THIAZIDES

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
13475FMPNP	INDAPAMIDE indapamide hemihydrate 1.5 mg modified release tablet, 90 (PI, CMI)	2	180	1	$26.89	$28.34	$31.60
	Available brands
	APO-Indapamide SRa
	Odaplix SRa
	Tenaxil SRa
	Natrilix SRa * Additional charge for this brand is $15.44B	2	180	1	$42.33	$28.34	$47.04

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > DIURETICS > LOW-CEILING DIURETICS, EXCL. THIAZIDES

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
8532CMPNP	INDAPAMIDE indapamide hemihydrate 1.5 mg modified release tablet, 90 (PI, CMI)	1	90	1	$20.17	$21.62	$25.07
	Available brands
	APO-Indapamide SRa
	Odaplix SRa
	Tenaxil SRa
	Natrilix SRa * Additional charge for this brand is $7.72B	1	90	1	$27.89	$21.62	$32.79