LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $49.40 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $49.40 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $121.00 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $31.61 $31.60 $31.60
Available brands
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $85.05 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $40.51 $31.60 $31.60
Available brands
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $158.42 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $233.22 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $158.44 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $158.44 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $308.04 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $308.04 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $84.96 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $84.96 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $233.22 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $22.69 $24.17 $27.62
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $31.61 $31.60 $31.60
Available brands
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $85.05 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $40.51 $31.60 $31.60
Available brands
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $121.00 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
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 $158.42 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space


  • Legend
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions