LACOSAMIDE

lacosamide 10 mg/mL oral liquid, 200 mL

LACOSAMIDE (14048J)

lacosamide 10 mg/mL oral liquid, 200 mL
14048J
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17560)

Indication: Intractable focal onset seizures
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 12 Max qty units: 12 # of repeats: 5 DPMQ: $709.32 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
LACOMED
Vimpat