Product Details

Xcopri

Cenobamate
150 mg
Tablet


DIN/PIN/NPN

02538741

Manufacturer

Endo Ventures Ltd.

Formulary Listing Date

2025-05-30  

Unit Price

8.8000

Amount MOH Pays

8.8000

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N03AX25

Interchangeable Products

NO  

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
719 Indefinite

As adjunctive therapy in the treatment of patients with partial onset seizures (POS) who have had an inadequate response or have significant intolerance to at least 2 other less costly anticonvulsant therapies (prior or current use); AND

Patients are under the care of a physician experienced in the treatment of epilepsy.

Note: Less costly anticonvulsant therapies may include the following: Phenytoin, Carbamazepine, Gabapentin, Lamotrigine, Vigabatrin, Topiramate, etc.

 

EAP Criteria

NO

Product Monograph

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