CARBAMAZEPINE

CARBAMAZEPINE (14509P)

carbamazepine 100 mg tablet, 100
14509P
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: $40.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
AVLOIRE
Tegretol 100
*Additional charge for this brand is $3.20
 DPMQ: $43.48 Max safety net: $25.00 General Patient Charge: $28.20

CARBAMAZEPINE (2422L)

carbamazepine 100 mg tablet, 100
2422L
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: $27.32 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
AVLOIRE
Tegretol 100
*Additional charge for this brand is $1.60
 DPMQ: $28.92 Max safety net: $25.00 General Patient Charge: $26.60

CARBAMAZEPINE (5039F)

carbamazepine 100 mg tablet, 100
5039F
Body System:
Manner of administration:Oral
General Schedule
No restrictions
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: 0 DPMQ: $27.32 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
AVLOIRE
Tegretol 100
*Additional charge for this brand is $1.60
 DPMQ: $28.92 Max safety net: $25.00 General Patient Charge: $26.60