Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Authority Required (STREAMLINED)

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
10293RMPNP	LACOSAMIDE lacosamide 50 mg tablet, 14 (PI, CMI)	4	56	5	$38.32	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
11694LMPNP	LACOSAMIDE lacosamide 10 mg/mL oral liquid, 200 mL (PI, CMI)	6	6	5	$359.10	$31.60	$31.60
	Available brands
	Vimpat

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
12626MMPNP	LACOSAMIDE lacosamide 50 mg tablet, 14 (PI, CMI)	4	56	5	$38.32	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
12627NMPNP	LACOSAMIDE lacosamide 150 mg tablet, 56 (PI, CMI)	1	56	5	$87.42	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
12628PMPNP	LACOSAMIDE lacosamide 10 mg/mL oral liquid, 200 mL (PI, CMI)	2	2	5	$125.56	$31.60	$31.60
	Available brands
	Vimpat

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
12633XMP	LACOSAMIDE lacosamide 100 mg tablet, 14 (PI, CMI)	1	14	1	$26.07	$27.55	$31.00
	Available brands
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
12634YMPNP	LACOSAMIDE lacosamide 100 mg tablet, 56 (PI, CMI)	1	56	5	$62.91	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
12649RMP	LACOSAMIDE lacosamide 150 mg tablet, 14 (PI, CMI)	1	14	1	$32.20	$31.60	$31.60
	Available brands
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
12658FMPNP	LACOSAMIDE lacosamide 200 mg tablet, 56 (PI, CMI)	1	56	5	$111.96	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
13838HMPNP	LACOSAMIDE lacosamide 150 mg tablet, 56 (PI, CMI)	2	112	5	$163.42	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
13839JMPNP	LACOSAMIDE lacosamide 100 mg tablet, 56 (PI, CMI)	2	112	5	$112.04	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Authority Required (STREAMLINED)

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
13867WMPNP	LACOSAMIDE lacosamide 100 mg tablet, 56 (PI, CMI)	2	112	5	$112.04	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
13949EMPNP	LACOSAMIDE lacosamide 200 mg tablet, 56 (PI, CMI)	2	112	5	$214.94	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
13951GMPNP	LACOSAMIDE lacosamide 200 mg tablet, 56 (PI, CMI)	2	112	5	$214.94	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Authority Required (STREAMLINED)

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
14011KMPNP	LACOSAMIDE lacosamide 50 mg tablet, 14 (PI, CMI)	8	112	5	$62.80	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
14013MMPNP	LACOSAMIDE lacosamide 10 mg/mL oral liquid, 200 mL (PI, CMI)	4	4	5	$242.32	$31.60	$31.60
	Available brands
	Vimpat

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
14048JMPNP	LACOSAMIDE lacosamide 10 mg/mL oral liquid, 200 mL (PI, CMI)	12	12	5	$709.32	$31.60	$31.60
	Available brands
	Vimpat

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
14049KMPNP	LACOSAMIDE lacosamide 50 mg tablet, 14 (PI, CMI)	8	112	5	$62.80	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
14053PMPNP	LACOSAMIDE lacosamide 150 mg tablet, 56 (PI, CMI)	2	112	5	$163.42	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Authority Required (STREAMLINED)

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
9333FMP	LACOSAMIDE lacosamide 50 mg tablet, 14 (PI, CMI)	1	14	1	$19.92	$21.40	$24.85
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Authority Required (STREAMLINED)

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
9334GMP	LACOSAMIDE lacosamide 100 mg tablet, 14 (PI, CMI)	1	14	1	$26.07	$27.55	$31.00
	Available brands
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Authority Required (STREAMLINED)

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
9335HMPNP	LACOSAMIDE lacosamide 100 mg tablet, 56 (PI, CMI)	1	56	5	$62.91	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Authority Required (STREAMLINED)

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
9336JMP	LACOSAMIDE lacosamide 150 mg tablet, 14 (PI, CMI)	1	14	1	$32.20	$31.60	$31.60
	Available brands
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
9337KMPNP	LACOSAMIDE lacosamide 150 mg tablet, 56 (PI, CMI)	1	56	5	$87.42	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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
9338LMPNP	LACOSAMIDE lacosamide 200 mg tablet, 56 (PI, CMI)	1	56	5	$111.96	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata