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 (13586C)

rosuvastatin 10 mg tablet, 30
13586C
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: $21.32 Max safety net: $22.80 General Patient Charge: $25.00
Available brands
APO-ROSUVASTATIN
APX-Rosuvastatin
Blooms Rosuvastatin
Cavstat
Crosuva 10
Pharmacor Rosuvastatin 10
ROSUVASTATIN-WGR
Rosuvastatin Lupin
Rosuvastatin RBX
Rosuvastatin Sandoz
Crestor
*Additional charge for this brand is $9.88
 DPMQ: $31.20 Max safety net: $22.80 General Patient Charge: $34.88

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 (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 (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

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

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

ROSUVASTATIN (2628H)

rosuvastatin 10 mg tablet, 30
2628H
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: $17.55 Max safety net: $19.03 General Patient Charge: $21.82
Available brands
APO-ROSUVASTATIN
APX-Rosuvastatin
Blooms Rosuvastatin
Cavstat
Crosuva 10
Pharmacor Rosuvastatin 10
ROSUVASTATIN-WGR
Rosuvastatin Lupin
Rosuvastatin RBX
Rosuvastatin Sandoz
Crestor
*Additional charge for this brand is $4.94
 DPMQ: $22.49 Max safety net: $19.03 General Patient Charge: $26.76