ROSUVASTATIN

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 (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