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
13500MMPNP	CHLORTALIDONE chlortalidone 25 mg tablet, 50 (PI, CMI)	4	200	1	$29.23	$30.68	$31.60
	Available brands
	Hygroton 25

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
1585KMPNP	CHLORTALIDONE chlortalidone 25 mg tablet, 50 (PI, CMI)	2	100	1	$21.35	$22.80	$26.25
	Available brands
	Hygroton 25