STIRIPENTOL
Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 17456)
Indication: Severe myoclonic epilepsy in infancy (Dravet syndrome)
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 120 | # of repeats: 3 | DPMQ: $1,296.24 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Diacomit | |||||