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	$49.40	$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	$22.69	$24.17	$27.62
	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	$31.61	$31.60	$31.60
	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	$85.05	$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	$40.51	$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	$121.00	$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	$158.42	$31.60	$31.60
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata