VALPROATE

VALPROATE (13840K)

valproate sodium 100 mg tablet, 100
13840K
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: $58.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Epilim

VALPROATE (13917L)

valproate sodium 500 mg enteric tablet, 100
13917L
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: $56.60 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Sodium Valproate
Sodium Valproate Sandoz
Valpro EC 500
Valproate Winthrop EC 500
Epilim EC
*Additional charge for this brand is $3.64
 DPMQ: $60.24 Max safety net: $25.00 General Patient Charge: $28.64

VALPROATE (13950F)

valproate sodium 200 mg/5 mL oral liquid, 300 mL
13950F
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: 4 # of repeats: 2 DPMQ: $71.44 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Epilim Syrup

VALPROATE (13973K)

valproate sodium 200 mg/5 mL oral liquid, 300 mL
13973K
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: 4 # of repeats: 2 DPMQ: $71.44 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Epilim Liquid

VALPROATE (14017R)

valproate sodium 200 mg enteric tablet, 100
14017R
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: $35.84 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Sodium Valproate
Sodium Valproate Sandoz
Valpro EC 200
Valproate Winthrop EC 200
Epilim EC
*Additional charge for this brand is $3.72
 DPMQ: $39.56 Max safety net: $25.00 General Patient Charge: $28.72

VALPROATE (2289L)

valproate sodium 200 mg enteric tablet, 100
2289L
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: $24.82 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Sodium Valproate
Sodium Valproate Sandoz
Valpro EC 200
Valproate Winthrop EC 200
Epilim EC
*Additional charge for this brand is $1.86
 DPMQ: $26.68 Max safety net: $25.00 General Patient Charge: $26.86

VALPROATE (2290M)

valproate sodium 500 mg enteric tablet, 100
2290M
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: $35.20 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Sodium Valproate
Sodium Valproate Sandoz
Valpro EC 500
Valproate Winthrop EC 500
Epilim EC
*Additional charge for this brand is $1.82
 DPMQ: $37.02 Max safety net: $25.00 General Patient Charge: $26.82

VALPROATE (2293Q)

valproate sodium 200 mg/5 mL oral liquid, 300 mL
2293Q
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: 2 # of repeats: 2 DPMQ: $42.62 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Epilim Liquid

VALPROATE (2294R)

valproate sodium 100 mg tablet, 100
2294R
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: $36.04 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Epilim

VALPROATE (2295T)

valproate sodium 200 mg/5 mL oral liquid, 300 mL
2295T
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: 2 # of repeats: 2 DPMQ: $42.62 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Epilim Syrup