AMLODIPINE + 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
9049GMPNP AMLODIPINE + ATORVASTATIN
amlodipine 5 mg + atorvastatin 10 mg tablet, 30 (PI, CMI)
1 30 5 $14.80 $16.11 $20.65
Available brands
Cadivast 5/10
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AMLODIPINE + 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
9050HMPNP AMLODIPINE + ATORVASTATIN
amlodipine 5 mg + atorvastatin 20 mg tablet, 30 (PI, CMI)
1 30 5 $15.48 $16.79 $21.33
Available brands
Cadivast 5/20
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AMLODIPINE + 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
9051JMPNP AMLODIPINE + ATORVASTATIN
amlodipine 5 mg + atorvastatin 40 mg tablet, 30 (PI, CMI)
1 30 5 $16.33 $17.64 $22.18
Available brands
Cadivast 5/40a
Caduet 5/40a
* Additional charge for this brand is $4.87B
1 30 5 $21.20 $17.64 $27.05
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AMLODIPINE + 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
9052KMPNP AMLODIPINE + ATORVASTATIN
amlodipine 5 mg + atorvastatin 80 mg tablet, 30 (PI, CMI)
1 30 5 $17.60 $18.91 $23.45
Available brands
Cadivast 5/80a
Caduet 5/80a
* Additional charge for this brand is $4.97B
1 30 5 $22.57 $18.91 $28.42
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AMLODIPINE + 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
9053LMPNP AMLODIPINE + ATORVASTATIN
amlodipine 10 mg + atorvastatin 10 mg tablet, 30 (PI, CMI)
1 30 5 $15.44 $16.75 $21.29
Available brands
Cadivast 10/10a
Caduet 10/10a
* Additional charge for this brand is $4.81B
1 30 5 $20.25 $16.75 $26.10
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AMLODIPINE + 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
9054MMPNP AMLODIPINE + ATORVASTATIN
amlodipine 10 mg + atorvastatin 20 mg tablet, 30 (PI, CMI)
1 30 5 $16.12 $17.43 $21.97
Available brands
Cadivast 10/20a
Caduet 10/20a
* Additional charge for this brand is $4.86B
1 30 5 $20.98 $17.43 $26.83
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AMLODIPINE + 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
9055NMPNP AMLODIPINE + ATORVASTATIN
amlodipine 10 mg + atorvastatin 40 mg tablet, 30 (PI, CMI)
1 30 5 $16.97 $18.28 $22.82
Available brands
Cadivast 10/40a
Caduet 10/40a
* Additional charge for this brand is $4.92B
1 30 5 $21.89 $18.28 $27.74
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AMLODIPINE + 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
9056PMPNP AMLODIPINE + ATORVASTATIN
amlodipine 10 mg + atorvastatin 80 mg tablet, 30 (PI, CMI)
1 30 5 $18.26 $19.57 $24.11
Available brands
Cadivast 10/80a
Caduet 10/80a
* Additional charge for this brand is $5.00B
1 30 5 $23.26 $19.57 $29.11
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner