LAMOTRIGINE

lamotrigine 100 mg tablet, 56

LAMOTRIGINE (14052N)

lamotrigine 100 mg tablet, 56
14052N
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Epileptic seizures
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 112 # of repeats: 5 DPMQ: $30.66 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APX-Lamotrigine
LAMITAN
LAMOTRIGINE-WGR
Lamotrigine GH
Logem
Reedos 100
Sandoz Lamotrigine
Lamictal
*Additional charge for this brand is $7.12
 DPMQ: $37.78 Max safety net: $25.00 General Patient Charge: $32.12