Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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

Source	General Schedule
Body System	NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS

Note

Authority Required (STREAMLINED)

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