LACOSAMIDE
lacosamide 50 mg tablet, 14
LACOSAMIDE (9333F)
9333F
Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 17541)
Indication: Intractable focal onset seizures
Treatment phase: Initial treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 14 | # of repeats: 1 | DPMQ: $19.92 | Max safety net: $21.40 | General Patient Charge: $24.19 |
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