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
13481MMPNP	OLMESARTAN + AMLODIPINE + HYDROCHLOROTHIAZIDE olmesartan medoxomil 20 mg + amlodipine 5 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI)	2	60	5	$25.45	$26.90	$30.35
	Available brands
	APO-Olmesartan/Amlodipine/HCTZ 20/5/12.5a
	Olamlo HCT 20/5/12.5a
	Olmekar HCT 20/5/12.5a
	Sevikar HCT 20/5/12.5a * Additional charge for this brand is $6.00B	2	60	5	$31.45	$26.90	$36.35