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