LACOSAMIDE
lacosamide 50 mg tablet, 14
LACOSAMIDE (12626M)
12626M
Body System:
Manner of administration:Oral
Restriction 17513
Indication: Idiopathic generalised epilepsy with primary generalised tonic-clonic seizures
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 56 | # of repeats: 5 | DPMQ: $38.32 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||