OLMESARTAN + 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 |
---|---|---|---|---|---|---|---|
13601WMPNP |
OLMESARTAN + HYDROCHLOROTHIAZIDE olmesartan medoxomil 40 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI) |
2 | 60 | 5 | $25.27 | $26.72 | $30.17 |
Available brands | |||||||
APO-Olmesartan/HCTZ 40/12.5a | |||||||
APX-Olmesartan/HCTZa | |||||||
OLMERTAN COMBI 40/12.5a | |||||||
OLMESARTAN HCTZ-WGR 40/12.5a | |||||||
Olmesartan HCT - MYL 40/12.5a | |||||||
Olmesartan/HCT Sandoza | |||||||
Pharmacor Olmesartan HCTZ 40/12.5a | |||||||
Olmetec Plusa * Additional charge for this brand is
$8.00B
|
2 | 60 | 5 | $33.27 | $26.72 | $38.17 |
OLMESARTAN + 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 |
---|---|---|---|---|---|---|---|
2166BMPNP | OLMESARTAN + HYDROCHLOROTHIAZIDE olmesartan medoxomil 40 mg + hydrochlorothiazide 12.5 mg tablet, 30 (PI, CMI) |
1 | 30 | 5 | $19.36 | $20.81 | $24.26 |
Available brands | |||||||
APO-Olmesartan/HCTZ 40/12.5a | |||||||
APX-Olmesartan/HCTZa | |||||||
OLMERTAN COMBI 40/12.5a | |||||||
OLMESARTAN HCTZ-WGR 40/12.5a | |||||||
Olmesartan HCT - MYL 40/12.5a | |||||||
Olmesartan/HCT Sandoza | |||||||
Pharmacor Olmesartan HCTZ 40/12.5a | |||||||
Olmetec Plusa * Additional charge for this brand is
$4.00B
|
1 | 30 | 5 | $23.36 | $20.81 | $28.26 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions