AMLODIPINE + ATORVASTATIN

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: $21.18 Max safety net: $22.66 General Patient Charge: $25.00
Available brands
Cadivast 5/20

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: $17.48 Max safety net: $18.96 General Patient Charge: $21.75
Available brands
Cadivast 5/20