INDIVIDUAL BENEFITS HYPERTENSION FOR PRESCRIPTION …

[Pages:10]INDIVIDUAL BENEFITS

FOR PRESCRIPTION DRUGS

HYPERTENSION

AMLODIPINE BESYLATE

LABELPRSNTN

APO-AMLODIPINE TAB 5mg

TAB/CAP

APO-AMLODIPINE TAB 10mg

TAB/CAP

AMLODIPINE BESILATE

AMDEPIN TAB 5mgTAB/CAP

AMDEPIN TAB 10mgTAB/CAP

AMLOCARD TAB 5mgTAB/CAP

AMLOCARD TAB 10mgTAB/CAP

AMLOCOR TAB 10mgTAB/CAP

AMLO-DENK TAB 5mgTAB/CAP

AMLO-DENK TAB 10mgTAB/CAP

AMLODOPINE-H2K TAB 5mg

TAB/CAP

AMLODOPINE-H2K TAB 10mg

TAB/CAP

AMLODIPINE-LAS TAB 5mg

TAB/CAP

AMLODIPINE-LAS TAB 10mg

TAB/CAP

AMLODIPINE-PMS TAB 5mg

TAB/CAP

AMLODIPINE-PMS TAB 10mg

TAB/CAP

AMLODIPINE-SDZ TAB 5mg

TAB/CAP

AMLODIPINE-SDZ TAB 10mg

TAB/CAP

AMTAS TAB 5mgTAB/CAP

AMTAS TAB 10mgTAB/CAP

BARAMLO TAB 5mgTAB/CAP

BARAMLO TAB 10mgTAB/CAP

CALCHEK TAB 5mgTAB/CAP

CALCHEK TAB 10mgTAB/CAP

NORVASC TAB 5mgTAB/CAP

NORVASC TAB 10mgTAB/CAP

STAMLO TAB 5mgTAB/CAP

STAMLO TAB 10mgTAB/CAP

TENOX TAB 5mgTAB/CAP

TENOX TAB 10mgTAB/CAP

S-AMLODIPINE BESILATE ASOMEX-2.5 TAB 2.5mgTAB/CAP ASOMEX-5 TAB 5mgTAB/CAP

SUBSIDY $14.56 $29.11

$14.56 $29.11 $14.56 $29.11 $29.11 $14.56 $29.11 $14.56 $29.11 $14.56 $29.11 $14.56 $29.11 $14.56 $29.11 $14.56 $29.11 $14.56 $29.11 $14.56 $29.11 $14.56 $29.11 $14.56 $29.11 $14.56 $29.11

$7.29 $14.56

S-AMLODIPINE BESYLATE LABELPRSNTN

ESEM 2.5 TAB 2.5mg

TAB/CAP

ESEM 5.0 TAB 5mg

TAB/CAP

AMLODIPINE BESILATE & ATENOLOL CALCHEK-A TAB 5mg/50mg

TAB/CAP

AMLODIPINE BESILATE & ATORVASTATIN CADUET TAB 5mg/10mgTAB/CAP CADUET TAB 5mg/20mgTAB/CAP

AMLODIPINE BESILATE & LISINOPRIL DIHYDRATE

LISONORM TAB 5mg/10mg LISONORM TAB 10mg/20mg

TAB/CAP TAB/CAP

S-AMLODIPINE & HYDROCHLOROTHIAZIDE

ASOMEX D TAB 2.5mg/12.5mg

TAB/CAP

S-AMLODIPINE & LOSARTAN ASOMEX LT TAB 2.5mg/50mg

TAB/CAP

AMLODIPINE & INDAPAMIDE

NATRIXAM MR TAB 5MG/1.5MG NATRIXAM MR TAB 10MG/1.5MG

TAB/CAP TAB/CAP

AMLODIPINE & VALSARTAN

AMLOVAL TAB 5mg/80mg

TAB/CAP

AMLOVAL 5/160 TAB 5mg/160mg

TAB/CAP

AMLOVAL 10/160 TAB 10mg/160mg

TAB/CAP

EXFORGE TAB 5mg/80mg

TAB/CAP

EXFORGE TAB 5mg/160mg

TAB/CAP

EXFORGE TAB 10mg/160mg

TAB/CAP

EXFORGE TAB 5mg/320mg

TAB/CAP

EXFORGE TAB 10mg/320mg

TAB/CAP

VALSARTAN & AMLODIPINE PRO TAB

5mg/80mgTAB/CAP

VALSARTAN & AMLODIPINE PRO TAB

5mg/160mgTAB/CAP

SUBSIDY $7.29 $14.56

$22.16

$94.71 $178.78

$23.55 $47.09

$5.46

$29.19

$26.16 $35.01

$36.05 $63.25 $72.10 $36.05 $63.25 $72.10 $84.81 $93.66

$36.05

$63.25

Hypertension - INDIVIDUAL BENEFITS FOR PRESCRIPTION DRUGS | 1

AMLODIPINE & VALSARTAN cont'd LABELPRSNTN VALSARTAN & AMLODIPINE PRO TAB 10mg/160mgTAB/CAP VALSARTAN & AMLODIPINE PRO TAB 5mg/320mgTAB/CAP VALSARTAN & AMLODIPINE PRO TAB 10mg/320mgTAB/CAP

SUBSIDY $72.10 $84.81 $93.66

AMLODIPINE & VALSARTAN & HYDROCHLOROTHIAZIDE

EXFORGE HCT TAB 5mg/160mg/12.5mg

TAB/CAP

$64.28

EXFORGE HCT TAB 5mg/160mg/25mg

TAB/CAP

$65.31

EXFORGE HCT TAB 10mg/160mg/12.5mg

TAB/CAP

$73.13

EXFORGE HCT TAB 10mg/160mg/25mg

TAB/CAP

$74.16

EXFORGE HCT TAB 10mg/320mg/25mg

TAB/CAP

$95.72

AMILORIDE & HYDROCHLOROTHIAZIDE

APO-AMILZIDE TAB 5mg/50mg

TAB/CAP

MILOREX TAB 5mg/50mg

TAB/CAP

ATENOLOL

APO-ATENOL TAB 50mg

TAB/CAP

APO-ATENOL TAB 100mg

TAB/CAP

ATEN TAB 100mg

TAB/CAP

ATENO TAB 50mg

TAB/CAP

ATENO TAB 100mg

TAB/CAP

ATENOLOL-ACT TAB 25mg

TAB/CAP

ATENOLOL-ACT TAB 50mg

TAB/CAP

ATENOLOL-ACT TAB 100mg

TAB/CAP

ATENOLOL-ALP TAB 25mg

TAB/CAP

ATENOLOL-ALP TAB 50mg

TAB/CAP

ATENOLOL-ALP TAB 100mg

TAB/CAP

ATENOLOL-BPS TAB 50mg

TAB/CAP

ATENOLOL-BPS TAB 100mg

TAB/CAP

ATENOLOL-DENK TAB 50mg

TAB/CAP

ATENOLOL- H2K TAB 50mg

TAB/CAP

ATENOLOL-H2K TAB 100mg

TAB/CAP

ATENOLOL-PMS 50mgTAB/CAP

ATENOLOL-PMS 100mgTAB/CAP

ATENOLOL-SHN TAB 50mg

TAB/CAP

ATENOLOL-SHN TAB 100mg

TAB/CAP

BETACARD TAB 50mgTAB/CAP

BETACARD TAB 100mgTAB/CAP

BLOCOTENOL TAB 50mg

TAB/CAP

$4.59 $4.59

$4.71 $9.41 $9.41 $4.71 $9.41 $2.35 $4.71 $9.41 $2.35 $4.71 $9.41 $4.71 $9.41 $4.71 $4.71 $9.41 $4.71 $9.41 $4.71 $9.41 $4.71 $9.41 $4.71

2 | INDIVIDUAL BENEFITS FOR PRESCRIPTION DRUGS - Hypertension

ATENOLOL cont'd LABELPRSNTN

BLOCOTENOL TAB 100mg

TAB/CAP

BLOKIUM 50 TABTAB/CAP

BLOKIUM 100 TABTAB/CAP

NOVO-ATENOL TAB 100mg

TAB/CAP

TENORMIN TAB 50mgTAB/CAP

TENORMIN TAB 100mgTAB/CAP

TOTAMOL TAB 50mgTAB/CAP

VELORIN TAB 100mgTAB/CAP

S-ATENOLOL ATPURE TAB 25mgTAB/CAP ATPURE TAB 50mgTAB/CAP

ATENOLOL & CHLORTHALIDONE BLOKIUM DIU TAB 100mg/25mg TENORETIC TAB 50mg/12.5mg TENORETIC TAB 100mg/25mg

ATENOLOL & NIFEDIPINE NIF-TEN TAB 50mg/20mg

TAB/CAP TAB/CAP TAB/CAP

TAB/CAP

BENDROFLUAZIDE

BEZIDE HS TAB 2.5mg

TAB/CAP

BEZIDE TAB 5mgTAB/CAP

BENDROFLUAZIDE & RESERPINE COMBEZIDE B TABTAB/CAP

BENDROFLUMETHIAZIDE BENDROFLUMETHIAZIDE -ALP TAB 5mg

TAB/CAP

BISOPROLOL CONCOR TAB 2.5mgTAB/CAP CONCOR TAB 5mgTAB/CAP CONCOR TAB 10mgTAB/CAP

BISOPROLOL & AMLODIPINE CONCUR AM TAB 5mg/5mg CONCUR AM TAB 10mg/5mg

TAB/CAP TAB/CAP

BISOPROLOL & HYDROCHLOROTHIAZIDE ZIAC TAB 2.5mg/6.25mgTAB/CAP ZIAC TAB 5mg/6.25mgTAB/CAP ZIAC TAB 10mg/6.25mgTAB/CAP

SUBSIDY $9.41 $4.71 $9.41 $9.41 $4.71 $9.41 $4.71 $9.41

$4.71 $9.41

$32.94 $16.47 $32.94

$14.00

$1.53 $3.05

$4.22

$2.87

$29.71 $59.42 $118.87

$68.27 $127.72

$51.79 $64.81 $78.04

CANDESARTAN LABELPRSNTN

CANDESARTAN SANDOZ TAB 8mg

TAB/CAP

CANDESARTAN SANDOZ TAB 16mg

TAB/CAP

CANDESARTAN SANDOZ TAB 32mg

TAB/CAP

CANDESARTAN & HYDROCHLOROTHIAZIDE

ATACAND PLUS 16mg/12.5mg TAB

TAB/CAP

ATACAND PLUS 32mg/12.5mg TAB

TAB/CAP

ATACAND PLUS 32mg/25mg TAB

TAB/CAP

CANDESARTAN/HCTZ-SDZ TAB 16mg/12.5mg TAB/CAP

CANDESARTAN/HCTZ-SDZ TAB 32mg/12.5mg TAB/CAP

CANDESARTAN/HCTZ-SDZ TAB 32mg/25mg TAB/CAP

BLOPRESS PLUS 16mg/12.5mg TAB

TAB/CAP

CANDESARTAN CILEXETIL

ATACAND TAB 8mgTAB/CAP

ATACAND TAB 16mgTAB/CAP

ATACAND TAB 32mgTAB/CAP

BLOPRESS TAB 8mgTAB/CAP

BLOPRESS TAB 16mgTAB/CAP

CANDIZAR-4 TAB 4mgTAB/CAP

CANDIZAR-8 TAB 8mgTAB/CAP

CANDIZAR-16 TAB 16mg

TAB/CAP

CAPTOPRIL

APO-CAPTO TAB 12.5mg

TAB/CAP

APO-CAPTO TAB 25mgTAB/CAP

APO-CAPTO TAB 50mgTAB/CAP

CAPOTEN TAB 25mgTAB/CAP

CAPOTEN TAB 50mgTAB/CAP

CAPTOPRIL-APT TAB 12.5mg

TAB/CAP

CAPTOPRIL-APT TAB 25mg

TAB/CAP

CAPTOPRIL-APT TAB 50mg

TAB/CAP

CAPTOPRIL-DENK TAB 25mg

TAB/CAP

CAPTOPRIL-H2K TAB 25mg

TAB/CAP

CAPTOPRIL-H2K TAB 50mg

TAB/CAP

CAPTOPRIL-LAS TAB 25mg

TAB/CAP

NOVO-CAPTORIL TAB 25mg

TAB/CAP

NOVO-CAPTORIL TAB 50mg

TAB/CAP

TENSIOMIN TAB 50mgTAB/CAP

SUBSIDY $44.62 $89.25 $89.25

$87.38 $87.38 $87.38 $87.38 $87.38 $87.38 $87.38

$44.62 $89.25 $89.25 $44.62 $89.25 $22.31 $44.62 $89.25

$3.08 $6.17 $12.33 $6.17 $12.33 $3.08 $6.17 $12.33 $6.17 $6.17 $12.33 $6.17 $6.17 $12.33 $12.33

CARVEDILOL LABELPRSNTN AKRIDOL TAB 6.25mgTAB/CAP

AKRIDOL TAB 12.5mgTAB/CAP

APO-CARVEDILOL TAB 6.25mg

TAB/CAP

APO-CARVEDILOL TAB 12.5mg

TAB/CAP

APO-CARVEDILOL TAB 25mg

TAB/CAP

CARCA TAB 6.25mgTAB/CAP

CARCA TAB 12.5mgTAB/CAP

CARLOC TABLETS 6.25mg

TAB/CAP

CARLOC TABLETS 12.5mg

TAB/CAP

CARLOC TABLETS 25mgTAB/CAP

CARVEDI-DENK TAB 6.25mg

TAB/CAP

CARVEDI-DENK TAB 25mg

TAB/CAP

CARVEDILOL -H2K TAB 6.25mg

TAB/CAP

CARVEDILOL -H2K TAB 12.5mg

TAB/CAP

CARVEDILOL-PMS TAB 3.125mg

TAB/CAP

CARVEDILOL-PMS TAB 6.25mg

TAB/CAP

CARVEDILOL-PMS TAB 12.5mg

TAB/CAP

CARVEDILOL-PMS TAB 25mg

TAB/CAP

CARVIDEX TAB 6.25mgTAB/CAP

CARVIDEX TAB 12.5mgTAB/CAP

CARVIDEX TAB 25mgTAB/CAP

COREG TAB 6.25mgTAB/CAP

COREG TAB 12.5mgTAB/CAP

COREG TAB 25mgTAB/CAP

TALLITON TAB 6.25mgTAB/CAP

TALLITON TAB 12.5mgTAB/CAP

TALLITON TAB 25mgTAB/CAP

DILTIAZEM HCL

APO-DILTIAZ TAB 30mg

TAB/CAP

APO-DILTIAZ TAB 60mg

TAB/CAP

DILZEM RETARD TAB 90mg

TAB/CAP

DILZEM RETARD TAB 180mg

TAB/CAP

DILZEM TAB 60mgTAB/CAP

ENALAPRIL & HYDROCHLOROTHIAZIDE

ENA +HCTZ- DENK TAB 20mg/12.5mg

TAB/CAP

VASERETIC TAB 10/25mg

TAB/CAP

VASERETIC TAB 20/12.5mg

TAB/CAP

SUBSIDY $9.20 $18.39 $9.20 $18.39 $36.77 $9.20 $18.39 $9.20 $18.39 $36.77 $9.20 $36.77 $9.20 $18.39 $4.60 $9.20 $18.39 $36.77 $9.20 $18.39 $36.77 $9.20 $18.39 $36.77 $9.20 $18.39 $36.77

$13.55 $27.07 $40.62 $81.25 $27.07

$67.45 $33.75 $67.45

Hypertension - INDIVIDUAL BENEFITS FOR PRESCRIPTION DRUGS | 3

ENALAPRIL MALEATE

LABELPRSNTN

APO-ENALAPRIL TAB 5mg

TAB/CAP

APO-ENALAPRIL TAB 10mg

TAB/CAP

APO-ENALAPRIL TAB 20mg

TAB/CAP

BQL 5 TAB TAB/CAP

BQL 10 TAB TAB/CAP

EDNYT TAB 5mgTAB/CAP

EDNYT TAB 10mgTAB/CAP

EDNYT TAB 20mgTAB/CAP

ENA-DENK TAB 10mgTAB/CAP

ENA-DENK TAB 20mgTAB/CAP

ENALAPRIL-H2K TAB 5mg

TAB/CAP

ENALAPRIL-H2K TAB 10mg

TAB/CAP

ENALAPRIL-H2K TAB 20mg

TAB/CAP

ENALAPRIL-LAS TAB 5mg

TAB/CAP

ENALAPRIL-LAS TAB 10mg

TAB/CAP

ENAM TAB 2.5mgTAB/CAP

ENAM TAB 5mgTAB/CAP

ENAM TAB 10mgTAB/CAP

ENAM TAB 20mgTAB/CAP

ENATEC TAB 5mgTAB/CAP

ENATEC TAB 10mgTAB/CAP

ENVAS TAB 5mg

TAB/CAP

ENVAS TAB 10mg

TAB/CAP

INVORIL TAB 5mgTAB/CAP

INVORIL TAB 10mgTAB/CAP

INVORIL TAB 20mgTAB/CAP

REDOPRIL TAB 5mgTAB/CAP

VASOTEC TAB 5mgTAB/CAP

VASOTEC TAB 10mgTAB/CAP

VASOTEC TAB 20mgTAB/CAP

EPLERENONE EPNONE TAB 25mgTAB/CAP EPNONE TAB 50mgTAB/CAP

FELODIPINE

PLENDIL TAB 5mgTAB/CAP

PLENDIL TAB 10mg

TAB/CAP

SUBSIDY $4.33 $8.66 $17.38 $4.33 $8.66 $4.33 $8.66 $17.38 $8.66 $17.38 $4.33 $8.66 $17.38 $4.33 $8.66 $2.19 $4.33 $8.66 $17.38 $4.33 $8.66 $4.33 $8.66 $4.33 $8.66 $17.38 $4.33 $4.33 $8.66 $17.38

$97.50 $195.00

$22.81 $45.62

FUROSEMIDE LABELPRSNTN

APO-FUROSEMIDE TAB 40mg

TAB/CAP

FEDFRUSEMIDE TAB 40mg

TAB/CAP

FRUSEMIDE-ALP TAB 40mg

TAB/CAP

FRUSIX-40 TAB 40mgTAB/CAP

FURO-DENK TAB 40mg

TAB/CAP

LASIX TAB 40mgTAB/CAP

HYDRALAZINE HCL APO-HYDRALAZINE TAB 25mg APO-HYDRALAZINE TAB 50mg HYDRALAZINE-ALP TAB 25mg

TAB/CAP TAB/CAP TAB/CAP

HYDROCHLOROTHIAZIDE

APO-HYDRO TAB 25mgTAB/CAP

APO-HYDRO TAB 50mgTAB/CAP

HYDROCHLORTHZ-COX TAB 25mg

TAB/CAP

HYDROCHLORTHZ-SPM TAB 50mg

TAB/CAP

INDAPAMIDE

INALIX SR TAB 1.5MG

TAB/CAP

INDAP SR TAB 1.5MG

TAB/CAP

INDITOR-SR TAB 1.5mgTAB/CAP

LORVAS SR TAB 1.5MG

TAB/CAP

LORVAS TAB 2.5MG

TAB/CAP

NATRILIX SR TAB 1.5mg

TAB/CAP

RAWEL SR TAB 1.5mg

TAB/CAP

IRBESARTAN

APROVEL TAB 150mgTAB/CAP

APROVEL TAB 300mgTAB/CAP

IRBESARTAN-SDZ TAB 150mg

TAB/CAP

IRBESARTAN-SDZ TAB 300mg

TAB/CAP

IRBESARTAN & AMLODIPINE APROVASC TAB 150mg/5mg APROVASC TAB 300mg/5mg APROVASC TABLETS 300mg/10mg

TAB/CAP TAB/CAP TAB/CAP

SUBSIDY $7.15 $7.15 $7.15 $7.15 $7.15 $7.15

$3.06 $5.03 $3.06

$3.22 $6.45 $3.22 $6.45

$17.31 $17.31 $17.31 $17.31 $17.31 $17.31 $17.31

$51.49 $102.98 $51.49 $102.98

$60.34 $111.83 $120.68

4 | INDIVIDUAL BENEFITS FOR PRESCRIPTION DRUGS - Hypertension

IRBESARTAN & HYDROCHLOROTHIAZIDE LABELPRSNTN

CoAPROVEL TAB 150mg/12.5mg

TAB/CAP

CoAPROVEL TAB 300mg/12.5mg

TAB/CAP

CoAPROVEL TAB 300mg/25mg

TAB/CAP

IRBESARTAN/HCTZ-PMS TAB 150mg/12.5mg TAB/CAP

IRBESARTAN/HCTZ-PMS TAB 300mg/12.5mg TAB/CAP

IRBESARTAN/HCTZ-PMS TAB 300mg/25mg TAB/CAP

IRBESARTAN/HCTZ-SDZ TAB 150mg/12.5mg TAB/CAP

IRBESARTAN/HCTZ-SDZ TAB 300mg/25mg TAB/CAP

LACIDIPINE LACIPIL TAB 4mgTAB/CAP

LISINOPRIL

APO-LISINOPRIL TAB 5mg

TAB/CAP

APO-LISINOPRIL TAB 10mg

TAB/CAP

APO-LISINOPRIL TAB 20mg

TAB/CAP

LINOTEN TAB 10mg

TAB/CAP

LISDENE TAB 5mgTAB/CAP

LISDENE TAB 10mgTAB/CAP

LISDENE TAB 20mg

TAB/CAP

LISINOPRIL -H2K TAB 2.5mg

TAB/CAP

LISINOPRIL- H2K TAB 5mg

TAB/CAP

LISINOPRIL- H2K TAB10mg

TAB/CAP

LISOPRESS TAB 5mgTAB/CAP

LISOPRESS TAB 10mgTAB/CAP

LISOPRESS TAB 20mgTAB/CAP

LISORIL TAB 5mgTAB/CAP

LISORIL TAB 10mgTAB/CAP

LISORIL TAB 20mgTAB/CAP

LISTRIL TAB 5mgTAB/CAP

LISTRIL TAB 10mgTAB/CAP

ZESTRIL TAB 5mgTAB/CAP

ZESTRIL TAB 10mgTAB/CAP

ZESTRIL TAB 20mgTAB/CAP

LISINOPRIL & HYDROCHLOROTHIAZIDE LISOPRESS HCT TAB 10mg/12.5mg LISOPRESS HCT TAB 20mg/12.5mg ZESTORETIC TAB 20-12.5mg

TAB/CAP TAB/CAP TAB/CAP

SUBSIDY $52.52 $67.97 $73.31 $52.52 $67.97 $73.31 $52.52 $73.31

$46.08

$6.41 $12.82 $25.64 $12.82 $6.41 $12.82 $25.64 $3.21 $6.41 $12.82 $6.41 $12.82 $25.64 $6.41 $12.82 $25.64 $6.41 $12.82 $6.41 $12.82 $25.64

$15.48 $29.80 $29.80

LOSARTAN AND AMLODIPINE

LABELPRSNTN

COZAAR XQ TABLETS 50mg/5mg

TAB/CAP

COZAAR XQ TABLETS 100mg/5mg

TAB/CAP

LOSARTAN POTASSIUM

APO-LOSARTAN TABLETS 25mg

TAB/CAP

APO-LOSARTAN TABLETS 50mg

TAB/CAP

APO-LOSARTAN TABLETS 100mg

TAB/CAP

COVANCE TAB 50mgTAB/CAP

COZAAR TAB 50mgTAB/CAP

COZAAR TAB 100mgTAB/CAP

LOSAR-DENK TAB 50mg

TAB/CAP

LOSAR-DENK TAB 100mg

TAB/CAP

LOSARTAN-H2K TAB 25mg

TAB/CAP

LOSARTAN-H2K TAB 50mg

TAB/CAP

LOSARTAS TAB 50mgTAB/CAP

LOSARTO TAB 25mgTAB/CAP

LOSARTO TAB 50mgTAB/CAP

LOSARTO TAB 100mgTAB/CAP

LOSATENSIL TAB 50mg

TAB/CAP

LOSIUM TAB 25mg

TAB/CAP

LOSIUM TAB 50mg

TAB/CAP

LOSIUM TAB 100mg

TAB/CAP

PRESARTAN-25 TABTAB/CAP

PRESARTAN-50 TABTAB/CAP

RESILO TAB 25mg

TAB/CAP

RESILO TAB 50mgTAB/CAP

TOZAAR TAB 25mgTAB/CAP

TOZAAR TAB 50mgTAB/CAP

ZAART TAB 25mgTAB/CAP

ZAART TAB 50mgTAB/CAP

LOSARTAN POT. & HYDROCHLOROTHIAZIDE

APO-LOSARTAN/HCTZ TAB 50mg/12.5mg

TAB/CAP

APO-LOSARTAN/HCTZ TAB 100mg/25mg

TAB/CAP

COLOSAR-DENK TAB 50/12.5mg

TAB/CAP

COLOSAR-DENK TAB 100/12.5mg

TAB/CAP

HOSART TAB 50/12.5mgTAB/CAP

HYZAAR TAB 50/12.5mgTAB/CAP

HYZAAR TAB 100/12.5mg

TAB/CAP

HYZAAR TAB 100/25mgTAB/CAP

PRESARTAN H TAB 50mg/12.5mg

TAB/CAP

SUBSIDY $53.67 $93.20

$12.38 $24.76 $49.52 $24.76 $24.76 $49.52 $24.76 $49.52 $12.38 $24.76 $24.76 $12.38 $24.76 $49.52 $24.76 $12.38 $24.76 $49.52 $12.38 $24.76 $12.38 $24.76 $12.38 $24.76 $12.38 $24.76

$41.17 $82.36 $41.17 $98.31 $41.17 $41.17 $98.31 $82.36 $41.17

Hypertension - INDIVIDUAL BENEFITS FOR PRESCRIPTION DRUGS | 5

LOSARTAN POT. & HYDROCHLOROTHIAZIDE cont'd

LABELPRSNTN

RESILO-H TAB 50mg/12.5mg

TAB/CAP

RESILO-H TAB 100mg/25mg

TAB/CAP

TRISARTAN-H TAB 50mg/12.5mg

TAB/CAP

METHYLDOPA

ALDOMET TAB 250mgTAB/CAP

ALDOMET TAB 500mgTAB/CAP

DOPEGYT TAB 250mgTAB/CAP

DOPEGYT TAB 500mgTAB/CAP

EMDOPA TAB 250mgTAB/CAP

METHYLDOPA-ALP TAB 250mg

TAB/CAP

METHYLDOPA-SK H2K TAB 250mg

TAB/CAP

METOPROLOL TARTRATE

LOPRESSOR DIVITAB 200mg

TAB/CAP

LOPRESSOR TAB 50mgTAB/CAP

LOPRESSOR TAB 100mgTAB/CAP

S-METOPROLOL SUCCINATE METPURE XL TAB 25MG METPURE XL TAB 50MG

TAB/CAP TAB/CAP

NEBIVOLOL NEBICARD TAB 5mgTAB/CAP NEBIEM TAB 5mgTAB/CAP NEBIEM TAB 10mgTAB/CAP

NIFEDIPINE

ADALAT CAP 10mgTAB/CAP

ADALAT OROS TAB 30mg

TAB/CAP

ADALAT OROS TAB 60mg

TAB/CAP

ADALAT RETARD TAB 20mg

TAB/CAP

APO-NIFED CAP 10mgTAB/CAP

APO-NIFED PA TAB 10mg

TAB/CAP

APO-NIFED PA TAB 20mg

TAB/CAP

CALCIGARD RET. TAB 20mg

TAB/CAP

CALNIF RETARD TAB 20mg

TAB/CAP

CORDAFLEX RETD TAB 20mg

TAB/CAP

EPILAT RETARD TAB 20mg

TAB/CAP

NIFEDI-DENK GEL CAP 10mg

TAB/CAP

NIFEDI-DENK RETD TAB 10mg

TAB/CAP

NIFEDI-DENK RETD TAB 20mg

TAB/CAP

NIFEDIPINE SR-H2K TAB 20mg

TAB/CAP

SUBSIDY $41.17 $82.36 $41.17

$5.17 $10.35 $5.17 $10.35 $5.17 $5.17 $5.17

$59.05 $14.77 $29.53

$14.77 $29.53

$31.70 $31.70 $63.40

$5.49 $22.09 $44.19 $11.05 $5.49 $5.49 $11.05 $11.05 $11.05 $11.05 $11.05 $5.49 $5.49 $11.05 $11.05

6 | INDIVIDUAL BENEFITS FOR PRESCRIPTION DRUGS - Hypertension

NIFEDIPINE cont'd LABELPRSNTN

NIFEDIPINE-LAS CAP 10mg

TAB/CAP

NIFEDIPINE-LAS SR TAB 20mg

TAB/CAP

NIFELAT R TAB 20mg

TAB/CAP

NIFICARD-30 ER TAB 30mg

TAB/CAP

PERINDOPRIL ARGININE COVERSYL TAB 5mgTAB/CAP COVERSYL TAB 10mgTAB/CAP

PERINDOPRIL ARGININE & AMLODIPINE COVERAM TAB 5mg/5mg COVERAM TAB 10mg/5mg COVERAM TAB 5mg/10mg COVERAM TAB 10mg/10mg

TAB/CAP TAB/CAP TAB/CAP TAB/CAP

PERINDOPRIL ARGININE & INDAPAMIDE

PRETERAX TAB 2mg/0.625mg

TAB/CAP

PRETERAX TAB 5mg/1.25mg

TAB/CAP

PRETERAX TAB 10mg/2.5mg

TAB/CAP

PERINDOPRIL ERBUMINE & INDAPAMIDE

PERINDAX TAB 2.5mg/0.625mg

TAB/CAP

PERINDAX PLUS TAB 4mg/1.25mg

TAB/CAP

PERINDOPRIL & INDAPAMIDE & AMLODIPINE

TRIPLIXAM TAB 5mg/1.25MG/5mg

TAB/CAP

TRIPLIXAM TAB 10mg/2.5MG/5mg

TAB/CAP

TRIPLIXAM TAB 10mg/2.5MG/10mg

TAB/CAP

POTASSIUM CHLORIDE

APO-K TAB 600mgTAB/CAP

SLOW-K TAB 600mg CR

TAB/CAP

PROPRANOLOL HCL

APO-PROPRANOLOL TAB 10mg APO-PROPRANOLOL TAB 20mg APO-PROPRANOLOL TAB 40mg APO-PROPRANOLOL TAB 80mg PROPRANOLOL-ALP TAB 40mg PROPRANOLOL-COX TAB 10mg PROPRANOLOL-COX TAB 40mg PROPRANOLOL-COX TAB 80mg PROPRANOLOL-SPM TAB 40mg

TAB/CAP TAB/CAP TAB/CAP TAB/CAP TAB/CAP TAB/CAP TAB/CAP TAB/CAP TAB/CAP

SUBSIDY $5.49 $11.05 $11.05 $22.09

$38.80 $77.60

$47.65 $86.45 $56.50 $95.30

$26.18 $52.36 $61.02

$26.18 $52.36

$67.79 $95.55 $95.55

$4.67 $4.67

$0.57 $1.13 $2.26 $4.53 $2.26 $0.57 $2.26 $4.53 $2.26

QUINAPRIL HCL LABELPRSNTN ACCUPRIL TAB 5mgTAB/CAP

ACCUPRIL TAB 10mgTAB/CAP

ACCUPRIL TAB 20mgTAB/CAP

RAMIPRIL

APO-RAMIPRIL CAP 2.5mg

TAB/CAP

APO-RAMIPRIL CAP 5mg

TAB/CAP

APO-RAMIPRIL CAP 10mg

TAB/CAP

RAMCOR TABS 5mg

TAB/CAP

RAMCOR TABS 10mg

TAB/CAP

RAMIPRES-5 TABSTAB/CAP

RAMIPRES TABS 10mgTAB/CAP

TRITACE PREVENT CAP 10mg

TAB/CAP

TRITACE TAB 2.5mgTAB/CAP

TRITACE TAB 5mgTAB/CAP

TRITACE TAB 10mgTAB/CAP

RAMIPRIL AND AMLODIPINE RAMLON CAPSULES 5mg/5mg RAMLON CAPSULES 10mg/5mg RAMLON CAPSULES 10mg/10mg

RAMIPRIL & HYDROCHLOROTHIAZIDE RAMIPRIL-HCTZ-PMS TAB 2.5mg/12.5mg RAMIPRIL-HCTZ-PMS TAB 5mg/12.5mg RAMIPRIL-HCTZ-PMS TAB 5mg/25mg RAMIPRIL-HCTZ-PMS TAB 10mg/12.5mg RAMIPRIL-HCTZ-PMS TAB 10mg/25mg TRITACE HCT TAB 2.5/12.5mg

TAB/CAP TAB/CAP TAB/CAP

TAB/CAP TAB/CAP TAB/CAP TAB/CAP TAB/CAP TAB/CAP

SACUBITRIL & VALSARTAN VYMADA TABLETS 50mg VYMADA TABLETS 100mg VYMADA TABLETS 200mg

TAB/CAP TAB/CAP TAB/CAP

SPIRONOLACTONE ALDACTONE TAB 25mgTAB/CAP

TELMISARTAN

MICARDIS TAB 80mgTAB/CAP

SAFETELMI TAB 80mgTAB/CAP

TELI TAB 40mgTAB/CAP

TELMA 40 TAB 40mg

TAB/CAP

TELMA 80 TAB 80mg

TAB/CAP

SUBSIDY $14.24 $28.49 $56.95

$18.72 $37.44 $74.88 $37.44 $74.88 $37.44 $74.88 $74.88 $18.72 $37.44 $74.88

$46.29 $83.73 $92.58

$22.25 $20.78 $44.50 $32.06 $41.55 $22.25

$28.50 $57.00 $114.00

$26.53

$65.97 $65.97 $32.99 $32.99 $65.97

TELMISARTAN cont'd LABELPRSNTN

TELMIFAST-40 TAB 40mg

TAB/CAP

TELMIFAST-80 TAB 80mg

TAB/CAP

TELMIMARK 40 TAB 40mg

TAB/CAP

TELSARTAN TAB 40mgTAB/CAP

TELSARTAN TAB 80mgTAB/CAP

TOLURA TAB 40mgTAB/CAP

TOLURA TAB 80mgTAB/CAP

TELMISARTAN & AMLODIPINE TWYNSTA TAB 80mg/5mg TWYNSTA TAB 80mg/10mg

TAB/CAP TAB/CAP

TELMISARTAN & HYDROCHLOROTHIAZIDE

MICARDIS PLUS TAB 80mg / 12.5mg

TAB/CAP

MICARDIS PLUS TAB 80mg / 25mg

TAB/CAP

SAFETELMI-H TAB 40mg/12.5mg

TAB/CAP

SAFETELMI-H TAB 80mg/12.5mg

TAB/CAP

TELMA H TAB 40mg/12.5mg

TAB/CAP

TELMA H TAB 80mg/12.5mg

TAB/CAP

TOLUCOMBI TAB 40mg/12.5mg

TAB/CAP

TOLUCOMBI TABLETS 80mg/12.5mg

TAB/CAP

TOLUCOMBI TABLETS 80mg/25mg

TAB/CAP

VALSARTAN

CARDISAR TAB 80MG

TAB/CAP

CARDISAR TAB 160MG

TAB/CAP

DIOVAN CAP 80mgTAB/CAP

DIOVAN CAP 160mgTAB/CAP

DIOVAN TAB 80mgTAB/CAP

DIOVAN TAB 160mgTAB/CAP

DIOVAN TAB 320mgTAB/CAP

NORVITAN TAB 80mgTAB/CAP

NORVITAN TAB 160mgTAB/CAP

VALSACOR TAB 80mgTAB/CAP

VALSACOR TAB 160mgTAB/CAP

VALSACOR TAB 320mgTAB/CAP

VALSAR-DENK 40 TAB 40mg

TAB/CAP

VALSAR-DENK 80 TAB 80mg

TAB/CAP

VALSAR-DENK 160 TAB 160mg

TAB/CAP

VALSAR-DENK 320 TAB 320mg

TAB/CAP

VALTAN 80 TAB 80mg

TAB/CAP

VALTAN TAB 320mgTAB/CAP

SUBSIDY $32.99 $65.97 $32.99 $32.99 $65.97 $32.99 $65.97

$74.82 $83.67

$67.00 $66.24 $33.12 $67.00 $33.12 $67.00 $33.12 $67.00 $66.24

$30.06 $60.13 $30.06 $60.13 $30.06 $60.13 $83.96 $30.06 $60.13 $30.06 $60.13 $83.96 $15.03 $30.06 $60.13 $83.96 $30.06 $83.96

Hypertension - INDIVIDUAL BENEFITS FOR PRESCRIPTION DRUGS | 7

VALSARTAN-HYDROCHLOROTHIAZIDE

LABELPRSNTN

CO-DIOVAN TAB 80MG/12.5mg

TAB/CAP

CO-DIOVAN TAB 160/12.5mg

TAB/CAP

CO-DIOVAN TAB 160/25mg

TAB/CAP

CO-DIOVAN TAB 320mg/12.5mg

TAB/CAP

CO-DIOVAN TAB 320mg/25mg

TAB/CAP

COVALSAR-DENK TAB 80mg/12.5mg

TAB/CAP

COVALSAR-DENK TAB 160mg/12.5mg

TAB/CAP

COVALSAR-DENK TAB 320mg/12.5mg

TAB/CAP

VALSADEN TAB 80mg/12.5mg

TAB/CAP

VALSADEN TAB 160mg/12.5mg

TAB/CAP

VALSADEN TAB 160mg/25mg

TAB/CAP

VALSADEN TAB 320mg/12.5mg

TAB/CAP

VALSADEN 320mg/25mgTAB/CAP

VERAPAMIL HCL

APO-VERAP TAB 80mgTAB/CAP

VERAPAMIL-CHN TAB 80mg

TAB/CAP

VERAPAMIL HCL CR ISOPTIN SR TAB 120mg ISOPTIN SR TAB 240mg VERAPAMIL-PMS SR TAB 240mg

TAB/CAP TAB/CAP TAB/CAP

SUBSIDY $34.29 $67.34 $68.59 $93.53 $94.78 $34.29 $67.34 $93.53 $34.29 $67.34 $68.59 $93.53 $94.78

$12.85 $12.85

$19.25 $38.50 $38.50

8 | INDIVIDUAL BENEFITS FOR PRESCRIPTION DRUGS - Hypertension

HYPERTENSION - ADJUNCT

ATORVASTATIN CALCIUM

LABELPRSNTN

APO- ATORVASTATIN TAB 10mg

TAB/CAP

APO- ATORVASTATIN TAB 20mg

TAB/CAP

APO- ATORVASTATIN TAB 40mg

TAB/CAP

ATOR TAB 10mg

TAB/CAP

ATOR TAB 20mg

TAB/CAP

ATOREM TAB 10mg

TAB/CAP

ATOREM TAB 20mg

TAB/CAP

ATOREM TAB 40mg

TAB/CAP

ATORIS TAB 10mg

TAB/CAP

ATORIS TAB 20mg

TAB/CAP

ATORIS TAB 40mg

TAB/CAP

ATORVASTATIN-H2K TAB 10mg

TAB/CAP

ATORVASTATIN-H2K TAB 20mg

TAB/CAP

CADITOR TAB 10mgTAB/CAP

CADITOR TAB 20mgTAB/CAP

CADITOR TAB 40mgTAB/CAP

LIPIREST TAB 10mgTAB/CAP

LIPIREST TAB 20mgTAB/CAP

LIPIREST TAB 40mgTAB/CAP

LIPITOR TAB 10mgTAB/CAP

LIPITOR TAB 20mgTAB/CAP

LIPITOR TAB 40mgTAB/CAP

LIPITOR TAB 80mgTAB/CAP

X'TOR TAB 20mgTAB/CAP

EZETIMIBE EZETROL TAB 10mgTAB/CAP ZETIA TAB 10mgTAB/CAP

EZETIMIBE & SIMVASTATIN VYTORIN TAB 10mg/10mg VYTORIN TAB 10mg/20mg VYTORIN TAB 10mg/40mg VYTORIN TAB 10mg/80mg

TAB/CAP TAB/CAP TAB/CAP TAB/CAP

LOVASTATIN APO-LOVASTATIN TAB 20mg

TAB/CAP

LOSTATIN TAB 20mgTAB/CAP

LOVASTATIN-PMS TAB 20mg

TAB/CAP

LOVASTATIN-PMS TAB 40mg

TAB/CAP

MEVACOR TAB 20mgTAB/CAP

SUBSIDY $69.88 $139.77 $139.77 $69.88 $139.77 $69.88 $139.77 $139.77 $69.88 $139.77 $139.77 $69.88 $139.77 $69.88 $139.77 $139.77 $69.88 $139.77 $139.77 $69.88 $139.77 $139.77 $139.77 $139.77

$83.20 $83.20

$92.49 $92.49 $139.66 $139.66

$42.31 $42.31 $42.31 $84.61 $42.31

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