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: $19.22	Max safety net: $20.70	General Patient Charge: $23.49
Available brands
APX-Pravastatin
Lipostat 10
PRAVASTATIN-WGR
Pravastatin Sandoz
Cholstat 10 *Additional charge for this brand is $5.86			DPMQ: $25.08	Max safety net: $20.70	General Patient Charge: $29.35
Pravachol *Additional charge for this brand is $9.90			DPMQ: $29.12	Max safety net: $20.70	General Patient Charge: $33.39

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
APX-Pravastatin
Lipostat 10
PRAVASTATIN-WGR
Pravastatin Sandoz
Cholstat 10 *Additional charge for this brand is $2.93			DPMQ: $19.43	Max safety net: $17.98	General Patient Charge: $23.70
Pravachol *Additional charge for this brand is $4.95			DPMQ: $21.45	Max safety net: $17.98	General Patient Charge: $25.72

PRAVASTATIN (13496H)