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	$26.96	$30.41
	Available brands
	APX-Pravastatina
	Lipostat 80a
	Pravachola * Additional charge for this brand is $10.30B	2	60	5	$35.78	$26.96	$40.71

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	$24.56
	Available brands
	APX-Pravastatina
	Lipostat 80a
	Pravachola * Additional charge for this brand is $5.15B	1	30	5	$24.78	$21.11	$29.71