CARBAMAZEPINE

CARBAMAZEPINE (14338P)

carbamazepine 200 mg tablet, 100
14338P
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 400 # of repeats: 2 DPMQ: $48.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
AVLOIRE
Tegretol 200
*Additional charge for this brand is $9.20
 DPMQ: $57.84 Max safety net: $25.00 General Patient Charge: $34.20

CARBAMAZEPINE (1706T)

carbamazepine 200 mg tablet, 100
1706T
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 2 DPMQ: $31.22 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
AVLOIRE
Tegretol 200
*Additional charge for this brand is $4.60
 DPMQ: $35.82 Max safety net: $25.00 General Patient Charge: $29.60

CARBAMAZEPINE (1724R)

carbamazepine 200 mg tablet, 100
1724R
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 0 DPMQ: $31.22 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
AVLOIRE
Tegretol 200
*Additional charge for this brand is $4.60
 DPMQ: $35.82 Max safety net: $25.00 General Patient Charge: $29.60