EZETIMIBE + SIMVASTATIN

ezetimibe 10 mg + simvastatin 10 mg tablet, 30

EZETIMIBE + SIMVASTATIN (13385L)

ezetimibe 10 mg + simvastatin 10 mg tablet, 30
13385L
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: $27.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Ezetimibe/Simvastatin 10/10
EZETIMIBE/SIMVASTATIN SANDOZ
EZETIMIBE/SIMVASTATIN-WGR 10/10
EZETORIN
Pharmacor Ezetimibe Simvastatin 10/10
Zimybe 10/10
Vytorin
*Additional charge for this brand is $3.88
 DPMQ: $31.18 Max safety net: $25.00 General Patient Charge: $28.88