EZETIMIBE + SIMVASTATIN

ezetimibe 10 mg + simvastatin 40 mg tablet, 30

EZETIMIBE + SIMVASTATIN (13535J)

ezetimibe 10 mg + simvastatin 40 mg tablet, 30
13535J
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: $28.74 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Ezetimibe/Simvastatin 10/40
EZETIMIBE/SIMVASTATIN SANDOZ
EZETIMIBE/SIMVASTATIN-WGR 10/40
EZETORIN
Pharmacor Ezetimibe Simvastatin 10/40
Zimybe 10/40
Vytorin
*Additional charge for this brand is $6.00
 DPMQ: $34.74 Max safety net: $25.00 General Patient Charge: $31.00