SULTHIAME

SULTHIAME (13916K)

sulthiame 50 mg tablet, 200
13916K
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: 2 Max qty units: 400 # of repeats: 2 DPMQ: $126.72 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ospolot

SULTHIAME (14016Q)

sulthiame 200 mg tablet, 200
14016Q
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: 2 Max qty units: 400 # of repeats: 2 DPMQ: $318.52 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ospolot

SULTHIAME (2099L)

sulthiame 50 mg tablet, 200
2099L
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: 1 Max qty units: 200 # of repeats: 2 DPMQ: $69.95 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ospolot

SULTHIAME (2100M)

sulthiame 200 mg tablet, 200
2100M
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: 1 Max qty units: 200 # of repeats: 2 DPMQ: $163.65 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ospolot