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	$25.00	$25.00
	Available brands
	LACOMEDa
	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
12626MMPNP	LACOSAMIDE lacosamide 50 mg tablet, 14 (PI, CMI)	4	56	5	$38.32	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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
12633XMP	LACOSAMIDE lacosamide 100 mg tablet, 14 (PI, CMI)	1	14	1	$26.07	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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
12658FMPNP	LACOSAMIDE lacosamide 200 mg tablet, 56 (PI, CMI)	1	56	5	$111.96	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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
14049KMPNP	LACOSAMIDE lacosamide 50 mg tablet, 14 (PI, CMI)	8	112	5	$62.80	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$24.19
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	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
9337KMPNP	LACOSAMIDE lacosamide 150 mg tablet, 56 (PI, CMI)	1	56	5	$87.42	$25.00	$25.00
	Available brands
	LACOMEDa
	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	$25.00	$25.00
	Available brands
	LACOMEDa
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata