AMLODIPINE + ATORVASTATIN

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: $21.08 Max safety net: $22.56 General Patient Charge: $25.00
Available brands
Cadivast 10/10
Caduet 10/10
*Additional charge for this brand is $10.00
 DPMQ: $31.08 Max safety net: $22.56 General Patient Charge: $35.00

AMLODIPINE + ATORVASTATIN (9053L)

amlodipine 10 mg + atorvastatin 10 mg tablet, 30
9053L
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: $17.43 Max safety net: $18.91 General Patient Charge: $21.70
Available brands
Cadivast 10/10
Caduet 10/10
*Additional charge for this brand is $5.00
 DPMQ: $22.43 Max safety net: $18.91 General Patient Charge: $26.70