Product Details

Topamax Sprinkle

Topiramate
15 mg
Sprinkle Capsule


DIN/PIN/NPN

02239907

Manufacturer

Janssen-Ortho Inc.

Formulary Listing Date

2000-11-30  

Unit Price

2.1580

Amount MOH Pays

2.1580

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N03AX11

Interchangeable Products

NO  

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
321 Indefinite

In children aged 16 and under, as adjunctive therapy in the treatment of seizure disorders where control by other listed anticonvulsants has been unsatisfactory.

 

EAP Criteria

NO

Product Monograph

View Monograph