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
10208GMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 10 mg tablet [30], 60 (PI, CMI)	1	1	5	$22.10	$23.55	$27.00
	Available brands
	Ezalo Composite Pack 10mg+10mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $2.97B	1	1	5	$25.07	$23.55	$29.97

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
13569EMPNP	EZETIMIBE (&) ROSUVASTATIN ezetimibe 10 mg tablet [30] (&) rosuvastatin 10 mg tablet [30], 60 (PI, CMI)	2	2	5	$30.75	$31.60	$31.60
	Available brands
	Ezalo Composite Pack 10mg+10mga
	Pharmacor Ezetimibe Rosuvastatin Composite Packa
	Rosuzet Composite Packa * Additional charge for this brand is $5.94B	2	2	5	$36.69	$31.60	$37.54