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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
- Legend
- MPMedical Practitioner
- NPNurse Practitioner