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	$38.32	$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
12626MMPNP	LACOSAMIDE lacosamide 50 mg tablet, 14 (PI, CMI)	4	56	5	$38.32	$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
14011KMPNP	LACOSAMIDE lacosamide 50 mg tablet, 14 (PI, CMI)	8	112	5	$62.80	$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
14049KMPNP	LACOSAMIDE lacosamide 50 mg tablet, 14 (PI, CMI)	8	112	5	$62.80	$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	$19.92	$21.40	$24.85
	Available brands
	Lacosama
	Lacosamide ARXa
	Lacosamide Lupina
	Lacosamide Sandoza
	Vimcosaa
	Vimpata