EZETIMIBE (&) ROSUVASTATIN

ezetimibe 10 mg tablet [30] (&) rosuvastatin 10 mg tablet [30], 60

EZETIMIBE (&) ROSUVASTATIN (13569E)

ezetimibe 10 mg tablet [30] (&) rosuvastatin 10 mg tablet [30], 60
13569E
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $39.70 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ezalo Composite Pack 10mg+10mg
Ezetimibe - Rosuvastatin Sandoz 10 mg/10 mg
Pharmacor Ezetimibe Rosuvastatin Composite Pack
Rosuzet Composite Pack
*Additional charge for this brand is $5.94
 DPMQ: $45.64 Max safety net: $25.00 General Patient Charge: $30.94