AMLODIPINE + ATORVASTATIN

AMLODIPINE + ATORVASTATIN (13384K)

amlodipine 10 mg + atorvastatin 20 mg tablet, 30
13384K
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: $21.98 Max safety net: $23.52 General Patient Charge: $25.00
Available brands
Cadivast 10/20
Caduet 10/20

AMLODIPINE + ATORVASTATIN (13415C)

amlodipine 5 mg + atorvastatin 40 mg tablet, 30
13415C
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: $22.40 Max safety net: $23.94 General Patient Charge: $25.00
Available brands
Cadivast 5/40
Caduet 5/40
*Additional charge for this brand is $9.54
 DPMQ: $31.94 Max safety net: $23.94 General Patient Charge: $34.54

AMLODIPINE + ATORVASTATIN (13479K)

amlodipine 10 mg + atorvastatin 10 mg tablet, 30
13479K
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: $21.62 Max safety net: $23.16 General Patient Charge: $25.00
Available brands
Cadivast 10/10
Caduet 10/10

AMLODIPINE + ATORVASTATIN (13536K)

amlodipine 10 mg + atorvastatin 40 mg tablet, 30
13536K
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: $23.68 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Cadivast 10/40
Caduet 10/40

AMLODIPINE + ATORVASTATIN (13567C)

amlodipine 5 mg + atorvastatin 20 mg tablet, 30
13567C
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: $21.70 Max safety net: $23.24 General Patient Charge: $25.00
Available brands
Cadivast 5/20

AMLODIPINE + ATORVASTATIN (13596N)

amlodipine 5 mg + atorvastatin 10 mg tablet, 30
13596N
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: $20.34 Max safety net: $21.88 General Patient Charge: $24.67
Available brands
Cadivast 5/10

AMLODIPINE + ATORVASTATIN (13597P)

amlodipine 5 mg + atorvastatin 80 mg tablet, 30
13597P
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: $24.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Cadivast 5/80
Caduet 5/80

AMLODIPINE + ATORVASTATIN (13963X)

amlodipine 10 mg + atorvastatin 80 mg tablet, 30
13963X
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: $26.22 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Cadivast 10/80
Caduet 10/80

AMLODIPINE + ATORVASTATIN (9049G)

amlodipine 5 mg + atorvastatin 10 mg tablet, 30
9049G
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: $17.35 Max safety net: $18.89 General Patient Charge: $21.68
Available brands
Cadivast 5/10

AMLODIPINE + ATORVASTATIN (9050H)

amlodipine 5 mg + atorvastatin 20 mg tablet, 30
9050H
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: $18.03 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
Cadivast 5/20