ROSUVASTATIN

ROSUVASTATIN (13588E)

rosuvastatin 20 mg tablet, 30
13588E
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: $21.44 Max safety net: $22.92 General Patient Charge: $25.00
Available brands
APO-ROSUVASTATIN
APX-Rosuvastatin
Blooms Rosuvastatin
Cavstat
Crosuva 20
Pharmacor Rosuvastatin 20
ROSUVASTATIN-WGR
Rosuvastatin Lupin
Rosuvastatin RBX
Rosuvastatin Sandoz
Crestor
*Additional charge for this brand is $9.88
 DPMQ: $31.32 Max safety net: $22.92 General Patient Charge: $34.88

ROSUVASTATIN (2574L)

rosuvastatin 20 mg tablet, 30
2574L
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 5 DPMQ: $17.61 Max safety net: $19.09 General Patient Charge: $21.88
Available brands
APO-ROSUVASTATIN
APX-Rosuvastatin
Blooms Rosuvastatin
Cavstat
Crosuva 20
Pharmacor Rosuvastatin 20
ROSUVASTATIN-WGR
Rosuvastatin Lupin
Rosuvastatin RBX
Rosuvastatin Sandoz
Crestor
*Additional charge for this brand is $4.94
 DPMQ: $22.55 Max safety net: $19.09 General Patient Charge: $26.82