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
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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
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions