LACOSAMIDE

LACOSAMIDE (12649R)

lacosamide 150 mg tablet, 14
12649R
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17515)

Indication: Idiopathic generalised epilepsy with primary generalised tonic-clonic seizures
Treatment phase: Dose titration at the start of therapy, during therapy or to gradually cease treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 14 # of repeats: 1 DPMQ: $32.20 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
LACOMED
Vimcosa
Vimpat

LACOSAMIDE (9336J)

lacosamide 150 mg tablet, 14
9336J
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17541)

Indication: Intractable focal onset seizures
Treatment phase: Initial treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 14 # of repeats: 1 DPMQ: $32.20 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
LACOMED
Vimcosa
Vimpat