Product Details

Aptiom

Eslicarbazepine Acetate
600 mg
Tablet


DIN/PIN/NPN

02426889

Manufacturer

Sunovion Pharmaceuticals Canada Inc.

Formulary Listing Date

2015-11-26  

Unit Price

9.8700

Amount MOH Pays

9.8700

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N03AF04

Interchangeable Products

NO  

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

View Monograph