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Informational only — Formulary data may be inaccurate or outdated. Always verify with official plan documents, your pharmacy, or your clinician before acting.
29 results for "ANTICONVULSANTS - MISC."
Page 1 of 2| Drug Name | Generic Name | Strength | Form | Plans Covering | Actions |
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zonisamide
Brand for Zonisade ANTICONVULSANTS Also: zonisamide oral, Zonegran, zonisamide caps 25mg, 50mg, 100mg, zonisamide cap 25 mg, 100 mg, zonisamide cap 50 mg, Zonisamide 100 Mg Capsule, Zonisamide 25 Mg Capsule, Zonisamide 50 Mg Capsule |
Zonisade | 25mg, 50mg, 100mg | Capsule | 183 plans | Details |
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topiramate cp24
ANTICONVULSANTS - MISC. Also: topiramate cp24 25mg, 50mg, 100mg, 200mg, topiramate cp24 25mg, 50mg, 100mg, 200mg; cpsp 15mg, 25mg, 50mg; cs24 25mg, 50mg, 100mg, 150mg, 200mg; soln 25mg/ml; tabs 25mg, 50mg, 100mg, 200mg |
— | 25mg, 50mg, 100mg, 200mg | Solution | 6 plans | Details |
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topiramate
Brand for Eprontia ANTICONVULSANTS Also: topiramate oral capsule sprinkle, topiramate oral tablet, topiramate cap er 24hr sprinkle 25 mg, 50 mg, 100 mg, 150 mg, 200 mg, topiramate tab 25 mg, 50 mg, 100 mg, 200 mg, Topiramate 15 Mg Sprinkle Capsule, Topiramate 25 Mg Sprinkle Capsule, Topiramate 25 Mg Tablet, Topiramate 50 Mg Tablet, Topiramate 100 Mg Tablet, Topiramate 200 Mg Tablet, Topiramate Er 25 Mg Sprinkle Capsule, Topiramate Er 50 Mg Sprinkle Capsule, Topiramate Er 100 Mg Sprinkle Capsule, Topiramate Er 150 Mg Sprinkle Capsule, Topiramate Er 200 Mg Sprinkle Capsule |
Eprontia | 25 mg, 50 mg, 100 mg, 150 mg, 200 mg | Tablet | 177 plans | Details |
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pregabalin
ANTICONVULSANTS Also: pregabalin oral capsule, Lyrica CR, pregabalin caps 25mg, 50mg, 75mg, 100mg, 150mg, 200mg, 225mg, 300mg; soln 20mg/ml, pregabalin cap 25 mg, 50 mg, 75 mg, 100 mg, 150 mg,, Pregabalin 25 Mg Capsule, Pregabalin 50 Mg Capsule, Pregabalin 75 Mg Capsule, Pregabalin 100 Mg Capsule, Pregabalin 150 Mg Capsule, Pregabalin 200 Mg Capsule, Pregabalin 225 Mg Capsule, Pregabalin 300 Mg Capsule, Pregabalin 20 Mg/Ml Oral Solution, PREGABALIN ER, LYRICA CR, pregabalin caps 25mg, 50mg, 75mg, 100mg, |
— | 25mg, 50mg, 75mg, 100mg, 150mg, 200mg, 225mg, 300mg | Extended Release Tablet | 179 plans | Details |
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levetiracetam tb3d
ANTICONVULSANTS - MISC. Also: levetiracetam tb3d 250mg |
— | 250mg | — | 2 plans | Details |
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levetiracetam
Brand for Roweepra ANTICONVULSANTS Also: levetiracetam oral solution, levetiracetam oral tablet, Spritam, levetiracetam soln 100mg/ml; tabs 250mg, 500mg, 750mg, 1000mg; tb24 500mg, 750mg, levetiracetam soln 500mg/5ml, levetiracetam oral soln 100 mg/ ml, levetiracetam tab er 24hr 500 mg, 750 mg, levetiracetam tab 250 mg, 500 mg, 750 mg, 1000 mg, Levetiracetam 100 Mg/Ml Oral Solution, Levetiracetam 500 Mg/5 Ml Oral Solution, Levetiracetam 250 Mg Tablet, Levetiracetam 500 Mg Tablet, Levetiracetam 750 Mg Tablet, Levetiracetam Er 500 Mg Tablet, Levetiracetam Er 750 Mg Tablet, levetiracetam soln 100mg/ml, 500mg/5ml; tabs 250mg, 500mg, 750mg, 1000mg; tb24 500mg, 750mg, ELEPSIA XR, levetiracetam soln 100mg/ml; tabs 250mg,, levetiracetam soln 100mg/ml, 500mg/5ml; tabs 250mg, 500mg, 750mg, 1000mg; tb24 500mg, 750mg; tb3d 500mg |
Roweepra | 250 mg, 500 mg, 750 mg, 1000 mg | Tablet | 179 plans | Details |
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lamotrigine tb24
Brand for lamotrigine Mood Stabilizer Also: lamotrigine tb24 25mg, lamotrigine tb24 50mg, lamotrigine tb24 100mg, lamotrigine tb24 200mg, lamotrigine tb24 250mg, lamotrigine tb24 300mg |
lamotrigine | 100mg | — | 3 plans | Details |
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lamotrigine
Brand for Subvenite ANTICONVULSANTS Also: lamotrigine oral tablet, lamotrigine oral tablet chewable, Lamictal XR, lamotrigine kit 25mg; tb24 250mg; tbdp 25mg, lamotrigine tab 25 mg (42) & 100 mg (7) starter kit, lamotrigine tab 84 x 25 mg & 14 x 100 mg starter kit, lamotrigine tab disint 21 x 25 mg & 7 x 50 mg titration kit, lamotrigine tab disint 25 (14) & 50 mg (14) & 100 mg (7) kit, lamotrigine tab disint 42 x 50mg & 14 x 100mg titration kit, lamotrigine tab chewable dispersible 5 mg, 25 mg, lamotrigine tab er 24hr 25 mg, 50 mg, 100 mg, 200 mg, 250 mg, 300 mg, lamotrigine tab 25 mg, 100 mg, 150 mg, 200 mg, Lamotrigine 5 Mg Dispersible Tablet, Lamotrigine 25 Mg Dispersible Tablet, Lamotrigine 25 Mg Odt Tablet, Lamotrigine 50 Mg Odt Tablet, Lamotrigine 100 Mg Odt Tablet, Lamotrigine 200 Mg Odt Tablet, Lamotrigine 25 Mg Tablet, Lamotrigine 100 Mg Tablet, Lamotrigine 150 Mg Tablet, Lamotrigine 200 Mg Tablet, Lamotrigine Tablet Starter Kit-Blue, Lamotrigine Tablet Starter Kit-Green, Lamotrigine Tablet Starter Kit-Orange, Lamotrigine Er 25 Mg Tablet, Lamotrigine Er 50 Mg Tablet, Lamotrigine Er 100 Mg Tablet, Lamotrigine Er 200 Mg Tablet, Lamotrigine Er 250 Mg Tablet, Lamotrigine Er 300 Mg Tablet, SUBVENITE, lamotrigine tab 25 mg (42) & 100 mg (7) starter, lamotrigine tab 84 x 25 mg & 14 x 100 mg, lamotrigine tab disint 21 x 25 mg & 7 x 50 mg, lamotrigine tab disint 25 (14) & 50 mg (14) & 100, lamotrigine tab disint 42 x 50mg & 14 x 100mg |
Subvenite | 25 mg, 50 mg, 100 mg, 200 mg, 250 mg, 300 mg | Tablet | 179 plans | Details |
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Zonisade
Brand for zonisamide Second Generation — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any second generation product. Also: zonisamide, ZONISADE SUSP 100MG/5ML |
zonisamide | 100MG/5ML | Suspension | 143 plans | Details |
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Zonegran
Brand for zonisamide ANTICONVULSANTS - MISC. Also: ZONEGRAN CAPS 25MG, 100MG |
zonisamide | 25MG, 100MG | Capsule | 10 plans | Details |
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Trokendi Xr Cp24
ANTICONVULSANTS - MISC. Also: TROKENDI XR CP24 25MG, 50MG, 100MG, 200MG, TROKENDI XR CP24 25MG, 50MG, 100MG, |
— | 25MG, 50MG, 100MG, 200MG | — | 5 plans | Details |
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Topamax Sprinkle Cpsp
ANTICONVULSANTS - MISC. Also: TOPAMAX SPRINKLE CPSP 15MG, 25MG |
— | 15MG, 25MG | — | 5 plans | Details |
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Topamax
Brand for topiramate ANTICONVULSANTS - MISC. Also: TOPAMAX TABS 25MG, 50MG, 100MG, 200MG, TOPAMAX TABS 25MG, 50MG, 100MG, |
topiramate | 25MG, 50MG, 100MG, 200MG | Tablet | 10 plans | Details |
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Subvenite
Brand for lamotrigine Glutamate Reducing Agents Also: subvenite tabs 25mg, 100mg, 150mg, 200mg, subvenite kit start 49, subvenite kit start 98, lamotrigine, Subvenite 25 Mg Tablet, Subvenite 100 Mg Tablet, Subvenite 150 Mg Tablet, Subvenite 200 Mg Tablet, Subvenite Tablet Starter Kit (Blue), Subvenite Tablet Starter Kit (Green), Subvenite Tablet Starter Kit (Orange), Subvenite Tabs 25mg, 100mg, 150mg, 200mg, Subvenite Kit Start 49, Subvenite Kit Start 98 |
lamotrigine | 25mg, 100mg, 150mg, 200mg | Tablet | 171 plans | Details |
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Spritam Tb3D
ANTICONVULSANTS - MISC. Also: SPRITAM TB3D 250MG, 500MG |
— | 250MG, 500MG | — | 2 plans | Details |
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Spritam
Brand for levetiracetam Second Generation — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any second generation product. Also: levetiracetam |
levetiracetam | 250 MG | Tablet | 141 plans | Details |
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Roweepra
Brand for levetiracetam Anticonvulsants, Other Also: roweepra tabs 500mg, levetiracetam, Roweepra 500 Mg Tablet, Roweepra 750 Mg Tablet, Roweepra Tabs 500mg |
levetiracetam | 500 MG | Tablet | 173 plans | Details |
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Lyrica
Brand for pregabalin ANTICONVULSANTS - MISC. Also: LYRICA CAPS 25MG, 50MG, 75MG, 100MG, 150MG, 200MG, 225MG, 300MG; SOLN 20MG/ML, LYRICA CAPS 25MG, 50MG, 75MG, 100MG, 150MG, 200MG, 225MG, 300MG, LYRICA CAPS 225MG; SOLN 20MG/ML, LYRICA CAPS 25MG, 50MG, 75MG, 100MG, |
pregabalin | 25MG, 50MG, 75MG, 100MG, 150MG, 200MG, 225MG, 300MG | Capsule | 9 plans | Details |
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Lamictal Xr
Brand for lamotrigine ANTICONVULSANTS - MISC. Also: LAMICTAL XR KIT, LAMICTAL XR TB24 25MG, 50MG, 100MG, 200MG, 250MG, 300MG |
lamotrigine | 25MG, 50MG, 100MG, 200MG, 250MG, 300MG | Kit | 10 plans | Details |
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Lamictal Odt Tbdp
ANTICONVULSANTS - MISC. Also: LAMICTAL ODT TBDP 25MG, 50MG, 100MG, 200MG, LAMICTAL ODT KIT, LAMICTAL ODT TBDP 25MG, 50MG, 100MG, |
— | 25MG, 50MG, 100MG, 200MG | Kit | 5 plans | Details |
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Lamictal Chewable Dispers Chew
ANTICONVULSANTS - MISC. Also: LAMICTAL CHEWABLE DISPERS CHEW 5MG, 25MG, LAMICTAL CHEWABLE DISPERS CHEW 5MG, |
— | 5MG, 25MG | — | 5 plans | Details |
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Lamictal Chewable Di
Brand for lamotrigine ANTICONVULSANTS |
lamotrigine | — | — | 5 plans | Details |
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Lamictal
Brand for lamotrigine ANTICONVULSANTS - MISC. Also: LAMICTAL KIT START 49, LAMICTAL KIT START 98, LAMICTAL TABS 25MG, 100MG, 150MG, 200MG, LAMICTAL TABS 25MG, 100MG, 150MG, |
lamotrigine | 25MG, 100MG, 150MG, 200MG | Kit | 10 plans | Details |
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Keppra Xr Tb24
ANTICONVULSANTS - MISC. Also: KEPPRA XR TB24 500MG, 750MG |
— | 500MG, 750MG | Extended Release Tablet | 3 plans | Details |
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Keppra Xr
Brand for levetiracetam ANTICONVULSANTS Also: KEPPRA XR TB24 500MG, 750MG |
levetiracetam | 500MG, 750MG | Extended Release Tablet | 7 plans | Details |