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 |
---|---|---|---|---|---|---|---|
13607EMPNP |
TELMISARTAN + HYDROCHLOROTHIAZIDE telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI) |
2 | 56 | 5 | $22.73 | $24.18 | $27.63 |
Available brands | |||||||
APO-Telmisartan HCTZ 80/25a | |||||||
Mizart HCT 80/25 mga | |||||||
TELMISARTAN HCTZ-WGR 80/25a | |||||||
Telmisartan/HCT Sandoza | |||||||
Teltartan HCT 80/25a | |||||||
Micardis Plus 80/25 mga * Additional charge for this brand is
$7.94B
|
2 | 56 | 5 | $30.67 | $24.18 | $35.57 |
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 |
---|---|---|---|---|---|---|---|
9381RMPNP | TELMISARTAN + HYDROCHLOROTHIAZIDE telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 (PI, CMI) |
1 | 28 | 5 | $18.09 | $19.54 | $22.99 |
Available brands | |||||||
APO-Telmisartan HCTZ 80/25a | |||||||
Mizart HCT 80/25 mga | |||||||
TELMISARTAN HCTZ-WGR 80/25a | |||||||
Telmisartan/HCT Sandoza | |||||||
Teltartan HCT 80/25a | |||||||
Micardis Plus 80/25 mga * Additional charge for this brand is
$3.97B
|
1 | 28 | 5 | $22.06 | $19.54 | $26.96 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions