PRAVASTATIN

Body System:

Manner of administration:Oral

General Schedule

Restricted Benefit

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: $19.84	Max safety net: $21.38	General Patient Charge: $24.17
Available brands
APX-Pravastatin
Lipostat 10
PRAVASTATIN-WGR
Pravastatin Sandoz
Cholstat 10 *Additional charge for this brand is $5.50			DPMQ: $25.34	Max safety net: $21.38	General Patient Charge: $29.67
Pravachol *Additional charge for this brand is $9.38			DPMQ: $29.22	Max safety net: $21.38	General Patient Charge: $33.55

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: $17.10	Max safety net: $18.64	General Patient Charge: $21.43
Available brands
APX-Pravastatin
Lipostat 10
PRAVASTATIN-WGR
Pravastatin Sandoz
Cholstat 10 *Additional charge for this brand is $2.75			DPMQ: $19.85	Max safety net: $18.64	General Patient Charge: $24.18
Pravachol *Additional charge for this brand is $4.69			DPMQ: $21.79	Max safety net: $18.64	General Patient Charge: $26.12

PRAVASTATIN (13496H)