BRIVARACETAM

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
11327EMPNP BRIVARACETAM
brivaracetam 25 mg tablet, 56 (PI, CMI)
1 56 5 $157.29 $31.60 $31.60
Available brands
Briviact
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BRIVARACETAM

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
11328FMP BRIVARACETAM
brivaracetam 25 mg tablet, 56 (PI, CMI)
1 56 5 $157.29 $31.60 $31.60
Available brands
Briviact
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BRIVARACETAM

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
11334MMP BRIVARACETAM
brivaracetam 50 mg tablet, 56 (PI, CMI)
1 56 5 $157.29 $31.60 $31.60
Available brands
Briviact
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BRIVARACETAM

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
11338RMPNP BRIVARACETAM
brivaracetam 50 mg tablet, 56 (PI, CMI)
1 56 5 $157.29 $31.60 $31.60
Available brands
Briviact
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BRIVARACETAM

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
11339TMP BRIVARACETAM
brivaracetam 100 mg tablet, 56 (PI, CMI)
1 56 5 $157.29 $31.60 $31.60
Available brands
Briviact
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BRIVARACETAM

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
11349HMP BRIVARACETAM
brivaracetam 10 mg/mL oral liquid, 300 mL (PI, CMI)
1 1 5 $194.50 $31.60 $31.60
Available brands
Briviact
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BRIVARACETAM

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
11350JMPNP BRIVARACETAM
brivaracetam 75 mg tablet, 56 (PI, CMI)
1 56 5 $157.29 $31.60 $31.60
Available brands
Briviact
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BRIVARACETAM

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
11356QMP BRIVARACETAM
brivaracetam 75 mg tablet, 56 (PI, CMI)
1 56 5 $157.29 $31.60 $31.60
Available brands
Briviact
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BRIVARACETAM

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
11357RMPNP BRIVARACETAM
brivaracetam 100 mg tablet, 56 (PI, CMI)
1 56 5 $157.29 $31.60 $31.60
Available brands
Briviact
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BRIVARACETAM

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
11358TMPNP BRIVARACETAM
brivaracetam 10 mg/mL oral liquid, 300 mL (PI, CMI)
1 1 5 $194.50 $31.60 $31.60
Available brands
Briviact
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  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner