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Informational only — Formulary data may be inaccurate or outdated.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.

119 results for "ANTICONVULSANTS"

Page 4 of 5
Drug Name Generic Name Strength Form Plans Covering Actions
Onfi
Brand for clobazam
ANTICONVULSANTS - BENZODIAZEPINES
Also: ONFI SUSP 2.5MG/ML; TABS 10MG, 20MG
clobazam 2.5MG Suspension 10 plans Details
Neurontin
Brand for gabapentin
ANTICONVULSANTS
Also: NEURONTIN CAPS 100MG, 300MG, 400MG; SOLN 250MG/5ML; TABS 600MG, 800MG, NEURONTIN CAPS 100MG, 300MG, 400MG;
gabapentin 100MG, 300MG, 400MG Capsule 10 plans Details
Neupro
Brand for rotigotine
ANTICONVULSANTS
Also: rotigotine, Neupro 1 Mg/24 Hr Patch, Neupro 2 Mg/24 Hr Patch, Neupro 3 Mg/24 Hr Patch, Neupro 4 Mg/24 Hr Patch, Neupro 6 Mg/24 Hr Patch, Neupro 8 Mg/24 Hr Patch, NEUPRO PT24 1MG/24HR, 2MG/24HR, 3MG/24HR, 4MG/24HR, 6MG/24HR, 8MG/24HR
rotigotine 0.0833 MG/HR Patch 90 plans Details
Nayzilam
Brand for midazolam
ANTICONVULSANTS
Also: NAYZILAM SOLN 5MG/0.1ML, midazolam, Nayzilam 5 Mg Nasal Spray
midazolam 5MG/0.1ML Nasal Spray 182 plans Details
Mysoline
Brand for primidone
ANTICONVULSANTS
Also: MYSOLINE TABS 50MG, 250MG
primidone 50MG, 250MG Tablet 10 plans Details
Motopoly XR
Brand for lacosamide
Second Generation — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any second generation product.
Also: lacosamide extended release
lacosamide Capsule 1 plan Details
Midazolam
Brand for Nayzilam
Benzodiazepine
Also: midazolam 100 mg/100ml-sodium chloride 0.9% iv soln, Midazolam 2 Mg/Ml Syrup, Midazolam 10 Mg/5 Ml Syrup, midazolam 100 mg/100ml-sodium chloride
Nayzilam 100 mg/100ml Syrup 4 plans Details
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
Lodosyn
Brand for carbidopa
Aromatic Amino Acid Decarboxylation Inhibitor
Also: LODOSYN TABS 25MG
carbidopa 25MG Tablet 8 plans Details
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
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
Lamictal Chewable Dispers Chew
ANTICONVULSANTS - MISC.
Also: LAMICTAL CHEWABLE DISPERS CHEW 5MG, 25MG, LAMICTAL CHEWABLE DISPERS CHEW 5MG,
5MG, 25MG 5 plans Details
Lamictal Chewable Di
Brand for lamotrigine
ANTICONVULSANTS
lamotrigine 5 plans Details
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
Klonopin
Brand for clonazepam
Second Generation — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any second generation product.
Also: KLONOPIN TABS .5MG, 1MG, 2MG
clonazepam 5MG, 1MG, 2MG Tablet 11 plans Details
Keppra Xr Tb24
ANTICONVULSANTS - MISC.
Also: KEPPRA XR TB24 500MG, 750MG
500MG, 750MG Extended Release Tablet 3 plans Details
Keppra Xr
Brand for levetiracetam
ANTICONVULSANTS
Also: KEPPRA XR TB24 500MG, 750MG
levetiracetam 500MG, 750MG Extended Release Tablet 7 plans Details
Keppra
Brand for levetiracetam
ANTICONVULSANTS - MISC.
Also: KEPPRA SOLN 100MG/ML; TABS 250MG, 500MG, 750MG, 1000MG, KEPPRA SOLN 100MG/ML, 500MG/5ML; TABS 250MG, 500MG, 750MG, 1000MG, KEPPRA SOLN 100MG/ML, 500MG/5ML;
levetiracetam 100MG Solution 10 plans Details
Inbrija
Brand for levodopa
ANTICONVULSANTS
Also: levodopa, INBRIJA CAPS 42MG
levodopa 42 MG Inhaler 109 plans Details
Gralise
Brand for gabapentin
Neuropathic Pain
Also: GRALISE TABS 300MG, 600MG, GRALISE TABS 450MG, 750MG, 900MG
gabapentin 450MG, 750MG, 900MG Tablet 4 plans Details
Gabarone
Brand for gabapentin
Second Generation — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any second generation product.
Also: GABARONE TABS 100MG, 400MG
gabapentin 100MG, 400MG Tablet 4 plans Details
Fycompa
Brand for perampanel
ANTICONVULSANTS
Also: Fycompa Oral Suspension, perampanel, FYCOMPA SUSP .5MG/ML; TABS 2MG, 4MG, 6MG, 8MG, 10MG, 12MG, Fycompa 2 Mg Tablet, Fycompa 4 Mg Tablet, Fycompa 6 Mg Tablet, Fycompa 8 Mg Tablet, Fycompa 10 Mg Tablet, Fycompa 12 Mg Tablet, FYCOMPA SUSP .5MG/ML; TABS 2MG, 4MG,
perampanel 10 Mg Tablet 121 plans Details
Fintepla
Brand for fenfluramine
ANTICONVULSANTS
Also: fenfluramine, FINTEPLA SOLN 2.2MG/ML
fenfluramine 2.2 MG Solution 151 plans Details
Felbatol
Brand for felbamate
ANTICONVULSANTS
Also: FELBATOL TABS 400MG, 600MG
felbamate 400MG, 600MG Tablet 10 plans Details
Equetro
Brand for carbamazepine
Carbamazepine Derivatives — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any carbamazepine product.
Also: carbamazepine
carbamazepine 100 MG Extended Release Capsule 33 plans Details
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