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Informational only — Formulary data may be inaccurate or outdated.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

7 results for "Anticonvulsants, Other"

Drug Name Generic Name Strength Form Plans Covering Actions
levetiracetam er
Anticonvulsants, Other
1 plan Details
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
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
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
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
Elepsia XR
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: ELEPSIA XR TB24 1500MG
levetiracetam 1500MG Tablet 3 plans Details
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