Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Authority Required (STREAMLINED)

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
10201XMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 20 mg tablet [30], 60 (PI, CMI)	1	1	5	$21.46	$22.86	$26.31
	Available brands
	Ezalo Composite Pack 10mg+20mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $2.98B	1	1	5	$24.44	$22.86	$29.29

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Authority Required (STREAMLINED)

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
10204CMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 5 mg tablet [30], 60 (PI, CMI)	1	1	5	$20.25	$21.65	$25.10
	Available brands
	Ezalo Composite Pack 10mg+5mga
	Rosuzet Composite Packa * Additional charge for this brand is $2.87B	1	1	5	$23.12	$21.65	$27.97

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Authority Required (STREAMLINED)

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
10207FMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 40 mg tablet [30], 60 (PI, CMI)	1	1	5	$22.60	$24.00	$27.45
	Available brands
	Ezalo Composite Pack 10mg+40mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $3.09B	1	1	5	$25.69	$24.00	$30.54

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Authority Required (STREAMLINED)

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
10208GMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 10 mg tablet [30], 60 (PI, CMI)	1	1	5	$21.63	$23.03	$26.48
	Available brands
	Ezalo Composite Pack 10mg+10mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $2.97B	1	1	5	$24.60	$23.03	$29.45

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Authority Required (STREAMLINED)

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
13480LMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 20 mg tablet [30], 60 (PI, CMI)	2	2	5	$29.93	$31.33	$31.60
	Available brands
	Ezalo Composite Pack 10mg+20mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $5.96B	2	2	5	$35.89	$31.33	$37.56

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Authority Required (STREAMLINED)

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
13537LMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 40 mg tablet [30], 60 (PI, CMI)	2	2	5	$32.21	$31.60	$31.60
	Available brands
	Ezalo Composite Pack 10mg+40mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $6.18B	2	2	5	$38.39	$31.60	$37.78

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Authority Required (STREAMLINED)

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
13569EMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 10 mg tablet [30], 60 (PI, CMI)	2	2	5	$30.27	$31.60	$31.60
	Available brands
	Ezalo Composite Pack 10mg+10mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $5.94B	2	2	5	$36.21	$31.60	$37.54

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Authority Required (STREAMLINED)

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
13629HMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 5 mg tablet [30], 60 (PI, CMI)	2	2	5	$27.51	$28.91	$31.60
	Available brands
	Ezalo Composite Pack 10mg+5mga
	Rosuzet Composite Packa * Additional charge for this brand is $5.74B	2	2	5	$33.25	$28.91	$37.34