LAMOTRIGINE

lamotrigine 50 mg tablet, 56

LAMOTRIGINE (15349W)

lamotrigine 50 mg tablet, 56
15349W
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Bipolar disorder
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 56 # of repeats: 5 DPMQ: $19.31 Max safety net: $20.85 General Patient Charge: $23.64
Available brands
Lamotrigine GH
Sandoz Lamotrigine
Lamictal
*Additional charge for this brand is $3.44
 DPMQ: $22.75 Max safety net: $20.85 General Patient Charge: $27.08