TOPIRAMATE
topiramate 15 mg capsule, 60
TOPIRAMATE (14063E)
14063E
Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 17525)
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: 120 | # of repeats: 5 | DPMQ: $36.42 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Topamax Sprinkle | |||||