Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS

Note

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
13517KMPNP	VALSARTAN + HYDROCHLOROTHIAZIDE valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI)	2	56	5	$34.01	$31.60	$31.60
	Available brands
	Co-Diovan 320/12.5a
	Dilart HCT 320/12.5a