PERAMPANEL
perampanel 12 mg tablet, 28
PERAMPANEL (10159Q)
10159Q
Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 17517)
Indication: Intractable focal onset seizures
Treatment phase: Continuing treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 28 | # of repeats: 5 | DPMQ: $289.20 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Fycompa | |||||