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 |
9237EMP |
PRAVASTATIN pravastatin sodium 10 mg tablet, 30
(PI,
CMI)
|
1 |
30 |
11 |
$15.70 |
$17.10 |
$23.32 |
Available brands |
APO-Pravastatin
SO
Supply onlya |
APX-Pravastatin
SO
Supply onlya |
Lipostat 10
SO
Supply onlya |
Pravastatin Sandoz
SO
Supply onlya |
Cholstat 10
SO
Supply onlya * Additional charge for this brand is
$2.93B
|
1 |
30 |
11 |
$18.63 |
$17.10 |
$23.32 |
Pravachol
SO
Supply onlya * Additional charge for this brand is
$4.95B
|
1 |
30 |
11 |
$20.65 |
$17.10 |
$23.32 |