LAMOTRIGINE

lamotrigine 100 mg tablet, 56
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: $22.22 Max safety net: $23.70 General Patient Charge: $25.00
Available brands
APX-Lamotrigine
LAMITAN
LAMOTRIGINE-WGR
Lamotrigine GH
Logem
Reedos 100
Sandoz Lamotrigine
Lamictal
*Additional charge for this brand is $3.56
DPMQ: $25.78 Max safety net: $23.70 General Patient Charge: $28.56