TELMISARTAN + 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 |
---|---|---|---|---|---|---|---|
13574KMPNP |
TELMISARTAN + HYDROCHLOROTHIAZIDE telmisartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI) |
2 | 56 | 5 | $22.07 | $23.52 | $26.97 |
Available brands | |||||||
APO-Telmisartan HCTZ 80/12.5a | |||||||
Mizart HCT 80/12.5 mga | |||||||
TELMISARTAN HCTZ-WGR 80/12.5a | |||||||
Telmisartan/HCT Sandoza | |||||||
Teltartan HCT 80/12.5a | |||||||
Micardis Plus 80/12.5 mga * Additional charge for this brand is
$8.02B
|
2 | 56 | 5 | $30.09 | $23.52 | $34.99 |
TELMISARTAN + 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 |
---|---|---|---|---|---|---|---|
8623WMPNP | TELMISARTAN + HYDROCHLOROTHIAZIDE telmisartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (PI, CMI) |
1 | 28 | 5 | $17.76 | $19.21 | $22.66 |
Available brands | |||||||
APO-Telmisartan HCTZ 80/12.5a | |||||||
Mizart HCT 80/12.5 mga | |||||||
TELMISARTAN HCTZ-WGR 80/12.5a | |||||||
Telmisartan/HCT Sandoza | |||||||
Teltartan HCT 80/12.5a | |||||||
Micardis Plus 80/12.5 mga * Additional charge for this brand is
$4.01B
|
1 | 28 | 5 | $21.77 | $19.21 | $26.67 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions