ROSUVASTATIN

ROSUVASTATIN (13589F)

rosuvastatin 40 mg tablet, 30
13589F
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: $24.68 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-ROSUVASTATIN
APX-Rosuvastatin
Blooms Rosuvastatin
Cavstat
Crosuva 40
Pharmacor Rosuvastatin 40
ROSUVASTATIN-WGR
Rosuvastatin Lupin
Rosuvastatin RBX
Rosuvastatin Sandoz
Crestor
*Additional charge for this brand is $9.88
 DPMQ: $34.56 Max safety net: $25.00 General Patient Charge: $34.88

ROSUVASTATIN (2594M)

rosuvastatin 40 mg tablet, 30
2594M
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: $19.23 Max safety net: $20.71 General Patient Charge: $23.50
Available brands
APO-ROSUVASTATIN
APX-Rosuvastatin
Blooms Rosuvastatin
Cavstat
Crosuva 40
Pharmacor Rosuvastatin 40
ROSUVASTATIN-WGR
Rosuvastatin Lupin
Rosuvastatin RBX
Rosuvastatin Sandoz
Crestor
*Additional charge for this brand is $4.94
 DPMQ: $24.17 Max safety net: $20.71 General Patient Charge: $28.44