PERAMPANEL
Source | General Schedule |
Body System | NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10162WMPNP | PERAMPANEL perampanel 4 mg tablet, 28 (PI, CMI) |
1 | 28 | 5 | $156.06 | $31.60 | $31.60 |
Available brands | |||||||
Fycompa |
PERAMPANEL
Source | General Schedule |
Body System | NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
11418YMPNP | PERAMPANEL perampanel 4 mg tablet, 28 (PI, CMI) |
1 | 28 | 2 | $156.06 | $31.60 | $31.60 |
Available brands | |||||||
Fycompa |
PERAMPANEL
Source | General Schedule |
Body System | NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
13864QMPNP |
PERAMPANEL perampanel 4 mg tablet, 28 (PI, CMI) |
2 | 56 | 5 | $303.65 | $31.60 | $31.60 |
Available brands | |||||||
Fycompa |
PERAMPANEL
Source | General Schedule |
Body System | NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
13948DMPNP |
PERAMPANEL perampanel 4 mg tablet, 28 (PI, CMI) |
2 | 56 | 5 | $303.65 | $31.60 | $31.60 |
Available brands | |||||||
Fycompa |
- Legend
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions