ROSUVASTATIN

ROSUVASTATIN (13406N)

rosuvastatin 5 mg tablet, 30
13406N
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: $19.22 Max safety net: $20.70 General Patient Charge: $23.49
Available brands
APO-ROSUVASTATIN
APX-Rosuvastatin
Blooms Rosuvastatin
Cavstat
Crosuva 5
Pharmacor Rosuvastatin 5
ROSUVASTATIN-WGR
Rosuvastatin Lupin
Rosuvastatin RBX
Rosuvastatin Sandoz
Crestor
*Additional charge for this brand is $9.86
 DPMQ: $29.08 Max safety net: $20.70 General Patient Charge: $33.35

ROSUVASTATIN (2606E)

rosuvastatin 5 mg tablet, 30
2606E
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: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
APO-ROSUVASTATIN
APX-Rosuvastatin
Blooms Rosuvastatin
Cavstat
Crosuva 5
Pharmacor Rosuvastatin 5
ROSUVASTATIN-WGR
Rosuvastatin Lupin
Rosuvastatin RBX
Rosuvastatin Sandoz
Crestor
*Additional charge for this brand is $4.93
 DPMQ: $21.43 Max safety net: $17.98 General Patient Charge: $25.70