LACOSAMIDE

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
10293RMPNP LACOSAMIDE
lacosamide 50 mg tablet, 14 (PI, CMI)
4 56 5 $49.07 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
11694LMPNP LACOSAMIDE
lacosamide 10 mg/mL oral liquid, 200 mL (PI, CMI)
6 6 5 $358.77 $31.60 $31.60
Available brands
Vimpat
space

LACOSAMIDE

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
12626MMPNP LACOSAMIDE
lacosamide 50 mg tablet, 14 (PI, CMI)
4 56 5 $49.07 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
12627NMPNP LACOSAMIDE
lacosamide 150 mg tablet, 56 (PI, CMI)
1 56 5 $120.67 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
12628PMPNP LACOSAMIDE
lacosamide 10 mg/mL oral liquid, 200 mL (PI, CMI)
2 2 5 $125.23 $31.60 $31.60
Available brands
Vimpat
space

LACOSAMIDE

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
12633XMP LACOSAMIDE
lacosamide 100 mg tablet, 14 (PI, CMI)
1 14 1 $31.28 $31.60 $31.60
Available brands
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
12634YMPNP LACOSAMIDE
lacosamide 100 mg tablet, 56 (PI, CMI)
1 56 5 $84.72 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
12649RMP LACOSAMIDE
lacosamide 150 mg tablet, 14 (PI, CMI)
1 14 1 $40.18 $31.60 $31.60
Available brands
Vimcosaa
Vimpata
space

LACOSAMIDE

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
12658FMPNP LACOSAMIDE
lacosamide 200 mg tablet, 56 (PI, CMI)
1 56 5 $158.09 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
13838HMPNP
LACOSAMIDE
lacosamide 150 mg tablet, 56 (PI, CMI)
2 112 5 $232.89 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
13839JMPNP
LACOSAMIDE
lacosamide 100 mg tablet, 56 (PI, CMI)
2 112 5 $158.11 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
13867WMPNP
LACOSAMIDE
lacosamide 100 mg tablet, 56 (PI, CMI)
2 112 5 $158.11 $31.60 $31.60
Available brands
Lacoressa
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
13949EMPNP
LACOSAMIDE
lacosamide 200 mg tablet, 56 (PI, CMI)
2 112 5 $307.71 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
13951GMPNP
LACOSAMIDE
lacosamide 200 mg tablet, 56 (PI, CMI)
2 112 5 $307.71 $31.60 $31.60
Available brands
Lacoressa
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
14011KMPNP
LACOSAMIDE
lacosamide 50 mg tablet, 14 (PI, CMI)
8 112 5 $84.67 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
14013MMPNP
LACOSAMIDE
lacosamide 10 mg/mL oral liquid, 200 mL (PI, CMI)
4 4 5 $241.99 $31.60 $31.60
Available brands
Vimpat
space

LACOSAMIDE

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
14048JMPNP
LACOSAMIDE
lacosamide 10 mg/mL oral liquid, 200 mL (PI, CMI)
12 12 5 $708.99 $31.60 $31.60
Available brands
Vimpat
space

LACOSAMIDE

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
14049KMPNP
LACOSAMIDE
lacosamide 50 mg tablet, 14 (PI, CMI)
8 112 5 $84.67 $31.60 $31.60
Available brands
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
14053PMPNP
LACOSAMIDE
lacosamide 150 mg tablet, 56 (PI, CMI)
2 112 5 $232.89 $31.60 $31.60
Available brands
Lacoressa
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
9333FMPNP LACOSAMIDE
lacosamide 50 mg tablet, 14 (PI, CMI)
1 14 1 $22.36 $23.81 $27.26
Available brands
Lacoressa
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
9334GMPNP LACOSAMIDE
lacosamide 100 mg tablet, 14 (PI, CMI)
1 14 1 $31.28 $31.60 $31.60
Available brands
Lacoressa
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
9335HMPNP LACOSAMIDE
lacosamide 100 mg tablet, 56 (PI, CMI)
1 56 5 $84.72 $31.60 $31.60
Available brands
Lacoressa
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
9336JMPNP LACOSAMIDE
lacosamide 150 mg tablet, 14 (PI, CMI)
1 14 1 $40.18 $31.60 $31.60
Available brands
Lacoressa
Vimcosaa
Vimpata
space

LACOSAMIDE

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
9337KMPNP LACOSAMIDE
lacosamide 150 mg tablet, 56 (PI, CMI)
1 56 5 $120.67 $31.60 $31.60
Available brands
Lacoressa
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space

LACOSAMIDE

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
9338LMPNP LACOSAMIDE
lacosamide 200 mg tablet, 56 (PI, CMI)
1 56 5 $158.09 $31.60 $31.60
Available brands
Lacoressa
Lacosama
Lacosamide ARXa
Lacosamide Lupina
Lacosamide Sandoza
Vimcosaa
Vimpata
space


  • Legend
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions