AMLODIPINE + ATORVASTATIN

AMLODIPINE + ATORVASTATIN (13415C)

amlodipine 5 mg + atorvastatin 40 mg tablet, 30
13415C
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: $22.40 Max safety net: $23.94 General Patient Charge: $25.00
Available brands
Cadivast 5/40
Caduet 5/40
*Additional charge for this brand is $9.54
 DPMQ: $31.94 Max safety net: $23.94 General Patient Charge: $34.54