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

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
13432YMPNP	PRAVASTATIN pravastatin sodium 40 mg tablet, 30 (PI, CMI)	2	60	5	$21.40	$22.88	$25.00
	Available brands
	APX-Pravastatina
	Cholstat 40a
	Lipostat 40a
	PRAVASTATIN-WGRa
	Pravastatin Sandoza
	Pravachola * Additional charge for this brand is $9.96B	2	60	5	$31.36	$22.88	$34.96

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

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
13496HMPNP	PRAVASTATIN pravastatin sodium 10 mg tablet, 30 (PI, CMI)	2	60	5	$19.22	$20.70	$23.49
	Available brands
	APX-Pravastatina
	Lipostat 10a
	PRAVASTATIN-WGRa
	Pravastatin Sandoza
	Cholstat 10a * Additional charge for this brand is $5.86B	2	60	5	$25.08	$20.70	$29.35
	Pravachola * Additional charge for this brand is $9.90B	2	60	5	$29.12	$20.70	$33.39

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

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
13497JMPNP	PRAVASTATIN pravastatin sodium 20 mg tablet, 30 (PI, CMI)	2	60	5	$19.76	$21.24	$24.03
	Available brands
	APX-Pravastatina
	Cholstat 20a
	Lipostat 20a
	PRAVASTATIN-WGRa
	Pravastatin Sandoza
	Pravachola * Additional charge for this brand is $9.96B	2	60	5	$29.72	$21.24	$33.99

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

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
13527YMPNP	PRAVASTATIN pravastatin sodium 80 mg tablet, 30 (PI, CMI)	2	60	5	$25.48	$25.00	$25.00
	Available brands
	APX-Pravastatina
	Lipostat 80a
	Pravachola * Additional charge for this brand is $10.30B	2	60	5	$35.78	$25.00	$35.30

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

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
2833DMPNP	PRAVASTATIN pravastatin sodium 10 mg tablet, 30 (PI, CMI)	1	30	5	$16.50	$17.98	$20.77
	Available brands
	APX-Pravastatina
	Lipostat 10a
	PRAVASTATIN-WGRa
	Pravastatin Sandoza
	Cholstat 10a * Additional charge for this brand is $2.93B	1	30	5	$19.43	$17.98	$23.70
	Pravachola * Additional charge for this brand is $4.95B	1	30	5	$21.45	$17.98	$25.72

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

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
2834EMPNP	PRAVASTATIN pravastatin sodium 20 mg tablet, 30 (PI, CMI)	1	30	5	$16.77	$18.25	$21.04
	Available brands
	APX-Pravastatina
	Cholstat 20a
	Lipostat 20a
	PRAVASTATIN-WGRa
	Pravastatin Sandoza
	Pravachola * Additional charge for this brand is $4.98B	1	30	5	$21.75	$18.25	$26.02

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

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
8197KMPNP	PRAVASTATIN pravastatin sodium 40 mg tablet, 30 (PI, CMI)	1	30	5	$17.59	$19.07	$21.86
	Available brands
	APX-Pravastatina
	Cholstat 40a
	Lipostat 40a
	PRAVASTATIN-WGRa
	Pravastatin Sandoza
	Pravachola * Additional charge for this brand is $4.98B	1	30	5	$22.57	$19.07	$26.84

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

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
8829QMPNP	PRAVASTATIN pravastatin sodium 80 mg tablet, 30 (PI, CMI)	1	30	5	$19.63	$21.11	$23.90
	Available brands
	APX-Pravastatina
	Lipostat 80a
	Pravachola * Additional charge for this brand is $5.15B	1	30	5	$24.78	$21.11	$29.05