IRBESARTAN + HYDROCHLOROTHIAZIDE
Source | General Schedule |
Body System | CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS |
|
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 |
---|---|---|---|---|---|---|---|
13446QMPNP |
IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (PI, CMI) |
2 | 60 | 5 | $21.89 | $23.34 | $26.79 |
Available brands | |||||||
APO-Irbesartan HCTZa | |||||||
AVSARTAN HCT 300/25a | |||||||
Abisart HCTZ 300/25a | |||||||
Blooms the Chemist Irbesartan HCTZ 300/25a | |||||||
IRBESARTAN HCTZ-WGR 300/25a | |||||||
Irbesartan/HCT Sandoza | |||||||
Avapro HCT 300/25a * Additional charge for this brand is
$7.00B
|
2 | 60 | 5 | $28.89 | $23.34 | $33.79 | |
Karvezide 300/25a * Additional charge for this brand is
$7.00B
|
2 | 60 | 5 | $28.89 | $23.34 | $33.79 |
IRBESARTAN + HYDROCHLOROTHIAZIDE
Source | General Schedule |
Body System | CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs), COMBINATIONS |
|
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 |
---|---|---|---|---|---|---|---|
2136KMPNP | IRBESARTAN + HYDROCHLOROTHIAZIDE irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (PI, CMI) |
1 | 30 | 5 | $17.67 | $19.12 | $22.57 |
Available brands | |||||||
APO-Irbesartan HCTZa | |||||||
AVSARTAN HCT 300/25a | |||||||
Abisart HCTZ 300/25a | |||||||
Blooms the Chemist Irbesartan HCTZ 300/25a | |||||||
IRBESARTAN HCTZ-WGR 300/25a | |||||||
Irbesartan/HCT Sandoza | |||||||
Avapro HCT 300/25a * Additional charge for this brand is
$3.50B
|
1 | 30 | 5 | $21.17 | $19.12 | $26.07 | |
Karvezide 300/25a * Additional charge for this brand is
$3.50B
|
1 | 30 | 5 | $21.17 | $19.12 | $26.07 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions