Product Details

Apo-Eslicarbazepine

Eslicarbazepine Acetate
200 mg
Tablet


DIN/PIN/NPN

02537931

Manufacturer

Apotex Inc.

Formulary Listing Date

2025-06-30  

Unit Price

4.9350

Amount MOH Pays

4.9350

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N03AF04

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02426862 Aptiom 9.8700 4.9350
02537931 Apo-Eslicarbazepine 4.9350 4.9350
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
430 Indefinite

As adjunctive therapy in the treatment of patients with partial onset seizures who have had an inadequate response or have significant intolerance to at least 3 less costly anticonvulsant therapies; 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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