EZETIMIBE + SIMVASTATIN

ezetimibe 10 mg + simvastatin 20 mg tablet, 30
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: $27.80 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Ezetimibe/Simvastatin 10/20
EZETIMIBE/SIMVASTATIN SANDOZ
EZETIMIBE/SIMVASTATIN-WGR 10/20
EZETORIN
Pharmacor Ezetimibe Simvastatin 10/20
Zimybe 10/20
Vytorin
*Additional charge for this brand is $4.00
DPMQ: $31.80 Max safety net: $25.00 General Patient Charge: $29.00
ezetimibe 10 mg + simvastatin 20 mg tablet, 30
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: $20.79 Max safety net: $22.27 General Patient Charge: $25.00
Available brands
APO-Ezetimibe/Simvastatin 10/20
EZETIMIBE/SIMVASTATIN SANDOZ
EZETIMIBE/SIMVASTATIN-WGR 10/20
EZETORIN
Pharmacor Ezetimibe Simvastatin 10/20
Zimybe 10/20
Vytorin
*Additional charge for this brand is $2.00
DPMQ: $22.79 Max safety net: $22.27 General Patient Charge: $27.00