LAMOTRIGINE

lamotrigine 25 mg tablet, 56

LAMOTRIGINE (2848X)

lamotrigine 25 mg tablet, 56
2848X
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: 1 Max qty units: 56 # of repeats: 5 DPMQ: $18.60 Max safety net: $20.14 General Patient Charge: $22.93
Available brands
APX-Lamotrigine
LAMITAN
LAMOTRIGINE-WGR
Lamotrigine GH
Logem
Reedos 25
Sandoz Lamotrigine
Lamictal
*Additional charge for this brand is $4.08
 DPMQ: $22.68 Max safety net: $20.14 General Patient Charge: $27.01