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 $21.51 $22.96 $26.41
Available brands
Ezetasta
Ezetimibe/Atorvastatin GH 10/20a
Atozeta
* Additional charge for this brand is $2.16B
1 30 5 $23.67 $22.96 $28.57
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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
13622YMPNP
EZETIMIBE + ATORVASTATIN
ezetimibe 10 mg + atorvastatin 20 mg tablet, 30 (PI, CMI)
2 60 5 $29.57 $31.02 $31.60
Available brands
Ezetasta
Ezetimibe/Atorvastatin GH 10/20a
Atozeta
* Additional charge for this brand is $4.32B
2 60 5 $33.89 $31.02 $35.92
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions