OXCARBAZEPINE

OXCARBAZEPINE (13936L)

oxcarbazepine 60 mg/mL oral liquid, 250 mL
13936L
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17509)

Indication: Seizures
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: 5 DPMQ: $190.32 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Trileptal

OXCARBAZEPINE (8588B)

oxcarbazepine 60 mg/mL oral liquid, 250 mL
8588B
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17478)

Indication: 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: 2 # of repeats: 5 DPMQ: $100.24 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Trileptal