PRAVASTATIN

pravastatin sodium 10 mg tablet, 30

PRAVASTATIN (13496H)

pravastatin sodium 10 mg tablet, 30
13496H
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 60 # of repeats: 5 DPMQ: $19.84 Max safety net: $21.38 General Patient Charge: $24.17
Available brands
APX-Pravastatin
Lipostat 10
PRAVASTATIN-WGR
Pravastatin Sandoz
Cholstat 10
*Additional charge for this brand is $5.50
 DPMQ: $25.34 Max safety net: $21.38 General Patient Charge: $29.67
Pravachol
*Additional charge for this brand is $9.38
 DPMQ: $29.22 Max safety net: $21.38 General Patient Charge: $33.55