Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10376DMPNP	EZETIMIBE + ATORVASTATIN ezetimibe 10 mg + atorvastatin 80 mg tablet, 30 (PI, CMI)	1	30	5	$27.38	$28.83	$31.60
	Available brands
	Atozeta
	Ezetasta
	Ezetimibe/Atorvastatin GH 10/80a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10377EMPNP	EZETIMIBE + ATORVASTATIN ezetimibe 10 mg + atorvastatin 40 mg tablet, 30 (PI, CMI)	1	30	5	$24.57	$26.02	$29.47
	Available brands
	Atozeta
	Ezetasta
	Ezetimibe/Atorvastatin GH 10/40a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10392YMPNP	EZETIMIBE + ATORVASTATIN ezetimibe 10 mg + atorvastatin 10 mg tablet, 30 (PI, CMI)	1	30	5	$20.95	$22.40	$25.85
	Available brands
	Atozeta
	Ezetasta
	Ezetimibe/Atorvastatin GH 10/10a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10393BMPNP	EZETIMIBE + ATORVASTATIN ezetimibe 10 mg + atorvastatin 20 mg tablet, 30 (PI, CMI)	1	30	5	$21.51	$22.96	$26.41
	Available brands
	Atozeta
	Ezetasta
	Ezetimibe/Atorvastatin GH 10/20a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
13416DMPNP	EZETIMIBE + ATORVASTATIN ezetimibe 10 mg + atorvastatin 40 mg tablet, 30 (PI, CMI)	2	60	5	$35.69	$31.60	$31.60
	Available brands
	Atozeta
	Ezetasta
	Ezetimibe/Atorvastatin GH 10/40a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
13538MMPNP	EZETIMIBE + ATORVASTATIN ezetimibe 10 mg + atorvastatin 80 mg tablet, 30 (PI, CMI)	2	60	5	$41.31	$31.60	$31.60
	Available brands
	Atozeta
	Ezetasta
	Ezetimibe/Atorvastatin GH 10/80a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
13539NMPNP	EZETIMIBE + ATORVASTATIN ezetimibe 10 mg + atorvastatin 10 mg tablet, 30 (PI, CMI)	2	60	5	$28.45	$29.90	$31.60
	Available brands
	Atozeta
	Ezetasta
	Ezetimibe/Atorvastatin GH 10/10a

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > LIPID MODIFYING AGENTS > LIPID MODIFYING AGENTS, COMBINATIONS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
13622YMPNP	EZETIMIBE + ATORVASTATIN ezetimibe 10 mg + atorvastatin 20 mg tablet, 30 (PI, CMI)	2	60	5	$29.57	$31.02	$31.60
	Available brands
	Atozeta
	Ezetasta
	Ezetimibe/Atorvastatin GH 10/20a