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
	Ezetasta
	Ezetimibe/Atorvastatin GH 10/10a
	Atozeta * Additional charge for this brand is $2.15B	1	30	5	$23.10	$22.40	$28.00

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
	Ezetasta
	Ezetimibe/Atorvastatin GH 10/10a
	Atozeta * Additional charge for this brand is $4.30B	2	60	5	$32.75	$29.90	$35.90