LAMOTRIGINE

LAMOTRIGINE (14047H)

lamotrigine 5 mg tablet, 56
14047H
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: 2 Max qty units: 112 # of repeats: 5 DPMQ: $24.10 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lamictal

LAMOTRIGINE (15339H)

lamotrigine 5 mg tablet, 56
15339H
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: 2 Max qty units: 112 # of repeats: 5 DPMQ: $24.10 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lamictal

LAMOTRIGINE (15341K)

lamotrigine 5 mg tablet, 56
15341K
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: $18.94 Max safety net: $20.42 General Patient Charge: $23.21
Available brands
Lamictal

LAMOTRIGINE (8063J)

lamotrigine 5 mg tablet, 56
8063J
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: $18.94 Max safety net: $20.42 General Patient Charge: $23.21
Available brands
Lamictal