Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, 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
10201XMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 20 mg tablet [30], 60 (PI, CMI)	1	1	5	$28.71	$30.19	$31.60
	Available brands
	Ezalo Composite Pack 10mg+20mga
	Ezetimibe - Rosuvastatin Sandoz 10 mg/20 mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $2.98B	1	1	5	$31.69	$30.19	$34.58

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, 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
10204CMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 5 mg tablet [30], 60 (PI, CMI)	1	1	5	$25.35	$26.83	$30.28
	Available brands
	Ezalo Composite Pack 10mg+5mga
	Ezetimibe - Rosuvastatin Sandoz 10 mg/5 mga
	Rosuzet Composite Packa * Additional charge for this brand is $2.87B	1	1	5	$28.22	$26.83	$33.15

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, 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
10207FMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 40 mg tablet [30], 60 (PI, CMI)	1	1	5	$28.40	$29.88	$31.60
	Available brands
	Ezalo Composite Pack 10mg+40mga
	Ezetimibe - Rosuvastatin Sandoz 10 mg/40 mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $3.09B	1	1	5	$31.49	$29.88	$34.69

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, 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
10208GMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 10 mg tablet [30], 60 (PI, CMI)	1	1	5	$26.74	$28.22	$31.60
	Available brands
	Ezalo Composite Pack 10mg+10mga
	Ezetimibe - Rosuvastatin Sandoz 10 mg/10 mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $2.97B	1	1	5	$29.71	$28.22	$34.57

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

Restricted Benefit

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	$43.64	$31.60	$31.60
	Available brands
	Ezalo Composite Pack 10mg+20mga
	Ezetimibe - Rosuvastatin Sandoz 10 mg/20 mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $5.96B	2	2	5	$49.60	$31.60	$37.56

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

Restricted Benefit

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	$43.02	$31.60	$31.60
	Available brands
	Ezalo Composite Pack 10mg+40mga
	Ezetimibe - Rosuvastatin Sandoz 10 mg/40 mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $6.18B	2	2	5	$49.20	$31.60	$37.78

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

Restricted Benefit

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	$39.70	$31.60	$31.60
	Available brands
	Ezalo Composite Pack 10mg+10mga
	Ezetimibe - Rosuvastatin Sandoz 10 mg/10 mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $5.94B	2	2	5	$45.64	$31.60	$37.54

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

Restricted Benefit

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	$36.92	$31.60	$31.60
	Available brands
	Ezalo Composite Pack 10mg+5mga
	Ezetimibe - Rosuvastatin Sandoz 10 mg/5 mga
	Rosuzet Composite Packa * Additional charge for this brand is $5.74B	2	2	5	$42.66	$31.60	$37.34