EZETIMIBE + ATORVASTATIN

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
10376DMPNP EZETIMIBE + ATORVASTATIN
ezetimibe 10 mg + atorvastatin 80 mg tablet, 30 (PI, CMI)
1 30 5 $25.58 $26.89 $31.43
Available brands
Ezetasta
Ezetimibe/Atorvastatin GH 10/80a
Atozeta
* Additional charge for this brand is $3.00B
1 30 5 $28.58 $26.89 $34.43
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EZETIMIBE + ATORVASTATIN

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
10377EMPNP EZETIMIBE + ATORVASTATIN
ezetimibe 10 mg + atorvastatin 40 mg tablet, 30 (PI, CMI)
1 30 5 $24.21 $25.52 $30.06
Available brands
Ezetasta
Ezetimibe/Atorvastatin GH 10/40a
Atozeta
* Additional charge for this brand is $3.00B
1 30 5 $27.21 $25.52 $33.06
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EZETIMIBE + ATORVASTATIN

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
10392YMPNP EZETIMIBE + ATORVASTATIN
ezetimibe 10 mg + atorvastatin 10 mg tablet, 30 (PI, CMI)
1 30 5 $22.57 $23.88 $28.42
Available brands
Ezetasta
Ezetimibe/Atorvastatin GH 10/10a
Atozeta
* Additional charge for this brand is $3.00B
1 30 5 $25.57 $23.88 $31.42
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EZETIMIBE + ATORVASTATIN

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
10393BMPNP EZETIMIBE + ATORVASTATIN
ezetimibe 10 mg + atorvastatin 20 mg tablet, 30 (PI, CMI)
1 30 5 $23.30 $24.61 $29.15
Available brands
Ezetasta
Ezetimibe/Atorvastatin GH 10/20a
Atozeta
* Additional charge for this brand is $3.00B
1 30 5 $26.30 $24.61 $32.15
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner