| Package | us.nlm.vsac |
| Resource Type | ValueSet |
| Id | 2.16.840.1.113762.1.4.1078.1067 |
| FHIR Version | R4 |
| Source | http://fhir.org/packages/us.nlm.vsac/https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1078.1067/expansion |
| URL | http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.1067 |
| Version | 20250521 |
| Status | active |
| Date | 2025-05-21T01:03:59-04:00 |
| Name | AntiepliepticMedications |
| Title | Antieplieptic medications |
| Realm | us |
| Authority | hl7 |
| Purpose | (Clinical Focus: Antiepileptic medications),(Data Element Scope: Medications with an an ingredient in ATC drug class of NO3 or VA class of CN400.),(Inclusion Criteria: Product TTYs (SCD, SBD, GPCK, BPCK)),(Exclusion Criteria: Combinations with phentermine, atropine or belladona.) |
No resources found
| CodeSystem | |
| rxnorm | RxNorm |
No narrative content found in resource
FHIR{
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"id": "2.16.840.1.113762.1.4.1078.1067",
"meta": {
"versionId": "17",
"lastUpdated": "2025-05-21T01:03:59.000-04:00",
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"extension": [
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"valueContactDetail": {
"name": "Optum Author"
}
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{
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"valueDate": "2025-05-21"
},
{
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"valueDate": "2025-05-21"
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"url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.1067",
"identifier": [
{
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"value": "urn:oid:2.16.840.1.113762.1.4.1078.1067"
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],
"version": "20250521",
"name": "AntiepliepticMedications",
"title": "Antieplieptic medications",
"status": "active",
"date": "2025-05-21T01:03:59-04:00",
"publisher": "Optum Steward",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"purpose": "(Clinical Focus: Antiepileptic medications),(Data Element Scope: Medications with an an ingredient in ATC drug class of NO3 or VA class of CN400.),(Inclusion Criteria: Product TTYs (SCD, SBD, GPCK, BPCK)),(Exclusion Criteria: Combinations with phentermine, atropine or belladona.)",
"compose": {
"include": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"concept": [
{
"code": "103941",
"display": "carbamazepine 125 MG Rectal Suppository"
},
{
"code": "103942",
"display": "carbamazepine 250 MG Rectal Suppository"
},
{
"code": "103968",
"display": "lamotrigine 100 MG Disintegrating Oral Tablet"
},
{
"code": "105018",
"display": "lamotrigine 100 MG Oral Tablet [Lamictal]"
},
{
"code": "105019",
"display": "lamotrigine 25 MG Oral Tablet [Lamictal]"
},
{
"code": "105028",
"display": "gabapentin 100 MG Oral Capsule [Neurontin]"
},
{
"code": "105029",
"display": "gabapentin 300 MG Oral Capsule [Neurontin]"
},
{
"code": "105030",
"display": "gabapentin 400 MG Oral Capsule [Neurontin]"
},
{
"code": "108782",
"display": "lamotrigine 200 MG Oral Tablet [Lamictal]"
},
{
"code": "1091265",
"display": "phenobarbital 10 MG/ML Injectable Solution"
},
{
"code": "1092357",
"display": "rufinamide 40 MG/ML Oral Suspension"
},
{
"code": "1092360",
"display": "rufinamide 40 MG/ML Oral Suspension [Banzel]"
},
{
"code": "1098608",
"display": "24 HR lamotrigine 300 MG Extended Release Oral Tablet"
},
{
"code": "1098610",
"display": "24 HR lamotrigine 300 MG Extended Release Oral Tablet [Lamictal]"
},
{
"code": "1099563",
"display": "24 HR divalproex sodium 250 MG Extended Release Oral Tablet"
},
{
"code": "1099565",
"display": "24 HR divalproex sodium 250 MG Extended Release Oral Tablet [Depakote]"
},
{
"code": "1099569",
"display": "24 HR divalproex sodium 500 MG Extended Release Oral Tablet"
},
{
"code": "1099571",
"display": "24 HR divalproex sodium 500 MG Extended Release Oral Tablet [Depakote]"
},
{
"code": "1099596",
"display": "divalproex sodium 125 MG Delayed Release Oral Capsule"
},
{
"code": "1099598",
"display": "divalproex sodium 125 MG Delayed Release Oral Capsule [Depakote]"
},
{
"code": "1099625",
"display": "divalproex sodium 125 MG Delayed Release Oral Tablet"
},
{
"code": "1099626",
"display": "divalproex sodium 125 MG Delayed Release Oral Tablet [Depakote]"
},
{
"code": "1099648",
"display": "5 ML valproic acid 100 MG/ML Injection"
},
{
"code": "1099656",
"display": "valproic acid 125 MG Delayed Release Oral Capsule"
},
{
"code": "1099670",
"display": "valproic acid 250 MG Delayed Release Oral Capsule"
},
{
"code": "1099678",
"display": "divalproex sodium 250 MG Delayed Release Oral Tablet"
},
{
"code": "1099679",
"display": "divalproex sodium 250 MG Delayed Release Oral Tablet [Depakote]"
},
{
"code": "1099681",
"display": "valproic acid 250 MG Oral Capsule"
},
{
"code": "1099687",
"display": "valproic acid 50 MG/ML Oral Solution"
},
{
"code": "1099691",
"display": "valproic acid 500 MG Delayed Release Oral Capsule"
},
{
"code": "1099703",
"display": "valproic acid 100 MG Oral Tablet"
},
{
"code": "1099766",
"display": "valproic acid 150 MG Delayed Release Oral Capsule"
},
{
"code": "1099772",
"display": "valproic acid 200 MG Delayed Release Oral Tablet"
},
{
"code": "1099853",
"display": "valproic acid 40 MG/ML Oral Solution"
},
{
"code": "1099870",
"display": "divalproex sodium 500 MG Delayed Release Oral Tablet"
},
{
"code": "1099871",
"display": "divalproex sodium 500 MG Delayed Release Oral Tablet [Depakote]"
},
{
"code": "1100449",
"display": "pentobarbital sodium 390 MG/ML / phenytoin sodium 50 MG/ML Injectable Solution"
},
{
"code": "1100453",
"display": "pentobarbital sodium 390 MG/ML / phenytoin sodium 50 MG/ML Injectable Solution [Euthasol]"
},
{
"code": "1112993",
"display": "ezogabine 200 MG Oral Tablet"
},
{
"code": "1112999",
"display": "ezogabine 300 MG Oral Tablet"
},
{
"code": "1113003",
"display": "ezogabine 400 MG Oral Tablet"
},
{
"code": "1113007",
"display": "ezogabine 50 MG Oral Tablet"
},
{
"code": "1146690",
"display": "24 HR lamotrigine 250 MG Extended Release Oral Tablet"
},
{
"code": "1146692",
"display": "24 HR lamotrigine 250 MG Extended Release Oral Tablet [Lamictal]"
},
{
"code": "1191056",
"display": "clobazam 10 MG Oral Tablet [Onfi]"
},
{
"code": "1191058",
"display": "clobazam 20 MG Oral Tablet [Onfi]"
},
{
"code": "1193358",
"display": "100 ML levetiracetam 10 MG/ML Injection"
},
{
"code": "1193360",
"display": "100 ML levetiracetam 15 MG/ML Injection"
},
{
"code": "1193362",
"display": "100 ML levetiracetam 5 MG/ML Injection"
},
{
"code": "1299900",
"display": "tiagabine hydrochloride 10 MG Oral Tablet"
},
{
"code": "1299903",
"display": "tiagabine hydrochloride 12 MG Oral Tablet"
},
{
"code": "1299906",
"display": "tiagabine hydrochloride 15 MG Oral Tablet"
},
{
"code": "1299909",
"display": "tiagabine hydrochloride 16 MG Oral Tablet"
},
{
"code": "1299911",
"display": "tiagabine hydrochloride 2 MG Oral Tablet"
},
{
"code": "1299914",
"display": "tiagabine hydrochloride 20 MG Oral Tablet"
},
{
"code": "1299917",
"display": "tiagabine hydrochloride 4 MG Oral Tablet"
},
{
"code": "1299919",
"display": "tiagabine hydrochloride 5 MG Oral Tablet"
},
{
"code": "1299967",
"display": "tiagabine hydrochloride 12 MG Oral Tablet [Gabitril]"
},
{
"code": "1299971",
"display": "tiagabine hydrochloride 16 MG Oral Tablet [Gabitril]"
},
{
"code": "1299973",
"display": "tiagabine hydrochloride 2 MG Oral Tablet [Gabitril]"
},
{
"code": "1299975",
"display": "tiagabine hydrochloride 20 MG Oral Tablet [Gabitril]"
},
{
"code": "1299978",
"display": "tiagabine hydrochloride 4 MG Oral Tablet [Gabitril]"
},
{
"code": "1313112",
"display": "phenytoin 25 MG/ML Oral Suspension"
},
{
"code": "1313884",
"display": "phenytoin 25 MG/ML Oral Suspension [Dilantin]"
},
{
"code": "1313885",
"display": "phenytoin 50 MG Chewable Tablet"
},
{
"code": "1313887",
"display": "phenytoin 50 MG Chewable Tablet [Dilantin]"
},
{
"code": "1313888",
"display": "phenytoin 6 MG/ML Oral Suspension"
},
{
"code": "1313890",
"display": "phenytoin 18 MG/ML Oral Suspension"
},
{
"code": "1356557",
"display": "perampanel 2 MG Oral Tablet"
},
{
"code": "1356563",
"display": "perampanel 2 MG Oral Tablet [FYCOMPA]"
},
{
"code": "1356570",
"display": "perampanel 4 MG Oral Tablet"
},
{
"code": "1356572",
"display": "perampanel 4 MG Oral Tablet [FYCOMPA]"
},
{
"code": "1356574",
"display": "perampanel 6 MG Oral Tablet"
},
{
"code": "1356576",
"display": "perampanel 6 MG Oral Tablet [FYCOMPA]"
},
{
"code": "1356578",
"display": "perampanel 8 MG Oral Tablet"
},
{
"code": "1356580",
"display": "perampanel 8 MG Oral Tablet [FYCOMPA]"
},
{
"code": "1356582",
"display": "perampanel 10 MG Oral Tablet"
},
{
"code": "1356584",
"display": "perampanel 10 MG Oral Tablet [FYCOMPA]"
},
{
"code": "1356586",
"display": "perampanel 12 MG Oral Tablet"
},
{
"code": "1356588",
"display": "perampanel 12 MG Oral Tablet [FYCOMPA]"
},
{
"code": "1359010",
"display": "{7 (perampanel 2 MG Oral Tablet) / 7 (perampanel 4 MG Oral Tablet) } Pack"
},
{
"code": "1359011",
"display": "{7 (perampanel 2 MG Oral Tablet [FYCOMPA]) / 7 (perampanel 4 MG Oral Tablet [FYCOMPA]) } Pack [Fycompa 2/4 Sample Pack]"
},
{
"code": "1365653",
"display": "24 HR oxcarbazepine 150 MG Extended Release Oral Tablet"
},
{
"code": "1365660",
"display": "24 HR oxcarbazepine 150 MG Extended Release Oral Tablet [Oxtellar]"
},
{
"code": "1365842",
"display": "24 HR oxcarbazepine 300 MG Extended Release Oral Tablet"
},
{
"code": "1365844",
"display": "24 HR oxcarbazepine 600 MG Extended Release Oral Tablet"
},
{
"code": "1365847",
"display": "24 HR oxcarbazepine 300 MG Extended Release Oral Tablet [Oxtellar]"
},
{
"code": "1365850",
"display": "24 HR oxcarbazepine 600 MG Extended Release Oral Tablet [Oxtellar]"
},
{
"code": "1366192",
"display": "clobazam 2.5 MG/ML Oral Suspension"
},
{
"code": "1366196",
"display": "clobazam 2.5 MG/ML Oral Suspension [Onfi]"
},
{
"code": "141952",
"display": "carbamazepine 400 MG Oral Tablet"
},
{
"code": "1436239",
"display": "24 HR topiramate 50 MG Extended Release Oral Capsule"
},
{
"code": "1436245",
"display": "24 HR topiramate 50 MG Extended Release Oral Capsule [Trokendi]"
},
{
"code": "1437278",
"display": "24 HR topiramate 25 MG Extended Release Oral Capsule"
},
{
"code": "1437280",
"display": "24 HR topiramate 25 MG Extended Release Oral Capsule [Trokendi]"
},
{
"code": "1437283",
"display": "24 HR topiramate 100 MG Extended Release Oral Capsule"
},
{
"code": "1437285",
"display": "24 HR topiramate 100 MG Extended Release Oral Capsule [Trokendi]"
},
{
"code": "1437288",
"display": "24 HR topiramate 200 MG Extended Release Oral Capsule"
},
{
"code": "1437290",
"display": "24 HR topiramate 200 MG Extended Release Oral Capsule [Trokendi]"
},
{
"code": "1482507",
"display": "eslicarbazepine acetate 200 MG Oral Tablet"
},
{
"code": "1482513",
"display": "eslicarbazepine acetate 200 MG Oral Tablet [Aptiom]"
},
{
"code": "1482515",
"display": "eslicarbazepine acetate 400 MG Oral Tablet"
},
{
"code": "1482517",
"display": "eslicarbazepine acetate 400 MG Oral Tablet [Aptiom]"
},
{
"code": "1482521",
"display": "eslicarbazepine acetate 600 MG Oral Tablet"
},
{
"code": "1482523",
"display": "eslicarbazepine acetate 600 MG Oral Tablet [Aptiom]"
},
{
"code": "1482525",
"display": "eslicarbazepine acetate 800 MG Oral Tablet"
},
{
"code": "1482527",
"display": "eslicarbazepine acetate 800 MG Oral Tablet [Aptiom]"
},
{
"code": "1491642",
"display": "{7 (eslicarbazepine acetate 400 MG Oral Tablet) / 7 (eslicarbazepine acetate 800 MG Oral Tablet) } Pack"
},
{
"code": "1491643",
"display": "{7 (eslicarbazepine acetate 400 MG Oral Tablet [Aptiom]) / 7 (eslicarbazepine acetate 800 MG Oral Tablet [Aptiom]) } Pack [Aptiom Titration Sample Pack]"
},
{
"code": "1494766",
"display": "Sprinkle 24 HR topiramate 100 MG Extended Release Oral Capsule [Qudexy]"
},
{
"code": "1494769",
"display": "Sprinkle 24 HR topiramate 150 MG Extended Release Oral Capsule"
},
{
"code": "1494771",
"display": "Sprinkle 24 HR topiramate 150 MG Extended Release Oral Capsule [Qudexy]"
},
{
"code": "1494775",
"display": "Sprinkle 24 HR topiramate 200 MG Extended Release Oral Capsule [Qudexy]"
},
{
"code": "1494778",
"display": "Sprinkle 24 HR topiramate 25 MG Extended Release Oral Capsule [Qudexy]"
},
{
"code": "1494781",
"display": "Sprinkle 24 HR topiramate 50 MG Extended Release Oral Capsule [Qudexy]"
},
{
"code": "151226",
"display": "topiramate 50 MG Oral Tablet"
},
{
"code": "151227",
"display": "topiramate 50 MG Oral Tablet [Topamax]"
},
{
"code": "151228",
"display": "topiramate 100 MG Oral Tablet [Topamax]"
},
{
"code": "151229",
"display": "topiramate 200 MG Oral Tablet [Topamax]"
},
{
"code": "152855",
"display": "topiramate 25 MG Oral Tablet [Topamax]"
},
{
"code": "1605362",
"display": "24 HR levetiracetam 1000 MG Extended Release Oral Tablet"
},
{
"code": "1605368",
"display": "24 HR levetiracetam 1000 MG Extended Release Oral Tablet [Elepsia]"
},
{
"code": "1605372",
"display": "24 HR levetiracetam 1500 MG Extended Release Oral Tablet"
},
{
"code": "1605374",
"display": "24 HR levetiracetam 1500 MG Extended Release Oral Tablet [Elepsia]"
},
{
"code": "1670195",
"display": "10 ML fosphenytoin sodium 75 MG/ML Injection"
},
{
"code": "1670197",
"display": "10 ML fosphenytoin sodium 75 MG/ML Injection [Cerebyx]"
},
{
"code": "1670200",
"display": "2 ML fosphenytoin sodium 75 MG/ML Injection"
},
{
"code": "1670201",
"display": "2 ML fosphenytoin sodium 75 MG/ML Injection [Cerebyx]"
},
{
"code": "1670351",
"display": "2 ML phenytoin sodium 50 MG/ML Injection"
},
{
"code": "1670353",
"display": "5 ML phenytoin sodium 50 MG/ML Injection"
},
{
"code": "1721312",
"display": "{7 (perampanel 4 MG Oral Tablet) / 7 (perampanel 6 MG Oral Tablet) } Pack"
},
{
"code": "1721313",
"display": "{7 (perampanel 4 MG Oral Tablet [FYCOMPA]) / 7 (perampanel 6 MG Oral Tablet [FYCOMPA]) } Pack [Fycompa 4/6 Sample Pack]"
},
{
"code": "1731020",
"display": "levetiracetam 500 MG Oral Tablet [Roweepra]"
},
{
"code": "1736037",
"display": "levetiracetam 1000 MG Tablet for Oral Suspension"
},
{
"code": "1736044",
"display": "levetiracetam 1000 MG Tablet for Oral Suspension [Spritam]"
},
{
"code": "1736045",
"display": "levetiracetam 250 MG Tablet for Oral Suspension"
},
{
"code": "1736047",
"display": "levetiracetam 250 MG Tablet for Oral Suspension [Spritam]"
},
{
"code": "1736048",
"display": "levetiracetam 500 MG Tablet for Oral Suspension"
},
{
"code": "1736050",
"display": "levetiracetam 500 MG Tablet for Oral Suspension [Spritam]"
},
{
"code": "1736051",
"display": "levetiracetam 750 MG Tablet for Oral Suspension"
},
{
"code": "1736053",
"display": "levetiracetam 750 MG Tablet for Oral Suspension [Spritam]"
},
{
"code": "1739749",
"display": "5 ML brivaracetam 10 MG/ML Injection"
},
{
"code": "1739754",
"display": "5 ML brivaracetam 10 MG/ML Injection [Briviact]"
},
{
"code": "1739761",
"display": "brivaracetam 10 MG Oral Tablet"
},
{
"code": "1739766",
"display": "brivaracetam 10 MG Oral Tablet [Briviact]"
},
{
"code": "1739768",
"display": "brivaracetam 100 MG Oral Tablet"
},
{
"code": "1739770",
"display": "brivaracetam 100 MG Oral Tablet [Briviact]"
},
{
"code": "1739772",
"display": "brivaracetam 25 MG Oral Tablet"
},
{
"code": "1739774",
"display": "brivaracetam 25 MG Oral Tablet [Briviact]"
},
{
"code": "1739776",
"display": "brivaracetam 50 MG Oral Tablet"
},
{
"code": "1739778",
"display": "brivaracetam 50 MG Oral Tablet [Briviact]"
},
{
"code": "1739780",
"display": "brivaracetam 75 MG Oral Tablet"
},
{
"code": "1739782",
"display": "brivaracetam 75 MG Oral Tablet [Briviact]"
},
{
"code": "1739785",
"display": "brivaracetam 10 MG/ML Oral Solution"
},
{
"code": "1739788",
"display": "brivaracetam 10 MG/ML Oral Solution [Briviact]"
},
{
"code": "1790122",
"display": "perampanel 0.5 MG/ML Oral Suspension"
},
{
"code": "1790126",
"display": "perampanel 0.5 MG/ML Oral Suspension [FYCOMPA]"
},
{
"code": "1812419",
"display": "Sprinkle 24 HR topiramate 200 MG Extended Release Oral Capsule"
},
{
"code": "1812421",
"display": "Sprinkle 24 HR topiramate 25 MG Extended Release Oral Capsule"
},
{
"code": "1812425",
"display": "Sprinkle 24 HR topiramate 50 MG Extended Release Oral Capsule"
},
{
"code": "1812427",
"display": "Sprinkle 24 HR topiramate 100 MG Extended Release Oral Capsule"
},
{
"code": "1875866",
"display": "levetiracetam 1000 MG Oral Tablet [Roweepra]"
},
{
"code": "1875868",
"display": "levetiracetam 250 MG Oral Tablet [Roweepra]"
},
{
"code": "1875870",
"display": "levetiracetam 750 MG Oral Tablet [Roweepra]"
},
{
"code": "1876012",
"display": "24 HR levetiracetam 750 MG Extended Release Oral Tablet [Roweepra]"
},
{
"code": "1876014",
"display": "24 HR levetiracetam 500 MG Extended Release Oral Tablet [Roweepra]"
},
{
"code": "197441",
"display": "carbamazepine 100 MG Oral Tablet"
},
{
"code": "197442",
"display": "carbamazepine 200 MG Chewable Tablet"
},
{
"code": "197527",
"display": "clonazepam 0.5 MG Oral Tablet"
},
{
"code": "197528",
"display": "clonazepam 1 MG Oral Tablet"
},
{
"code": "197529",
"display": "clonazepam 2 MG Oral Tablet"
},
{
"code": "197682",
"display": "ethosuximide 250 MG Oral Capsule"
},
{
"code": "197683",
"display": "ethotoin 250 MG Oral Tablet"
},
{
"code": "197923",
"display": "mephobarbital 100 MG Oral Tablet"
},
{
"code": "197924",
"display": "mephobarbital 32 MG Oral Tablet"
},
{
"code": "197925",
"display": "mephobarbital 50 MG Oral Tablet"
},
{
"code": "197926",
"display": "mephenytoin 100 MG Oral Tablet"
},
{
"code": "197949",
"display": "methsuximide 300 MG Oral Capsule"
},
{
"code": "198083",
"display": "phenobarbital 100 MG Oral Tablet"
},
{
"code": "198084",
"display": "phenobarbital 16 MG Oral Capsule"
},
{
"code": "198085",
"display": "phenobarbital 16 MG Oral Tablet"
},
{
"code": "198086",
"display": "phenobarbital 16.2 MG Oral Tablet"
},
{
"code": "198089",
"display": "phenobarbital 60 MG Oral Tablet"
},
{
"code": "198150",
"display": "primidone 50 MG Oral Tablet"
},
{
"code": "198330",
"display": "trimethadione 150 MG Chewable Tablet"
},
{
"code": "198358",
"display": "felbamate 400 MG Oral Tablet"
},
{
"code": "198359",
"display": "felbamate 600 MG Oral Tablet"
},
{
"code": "198368",
"display": "phenobarbital 65 MG/ML Injectable Solution"
},
{
"code": "198427",
"display": "lamotrigine 100 MG Oral Tablet"
},
{
"code": "198428",
"display": "lamotrigine 150 MG Oral Tablet"
},
{
"code": "198429",
"display": "lamotrigine 200 MG Oral Tablet"
},
{
"code": "198430",
"display": "lamotrigine 25 MG Disintegrating Oral Tablet"
},
{
"code": "199164",
"display": "phenobarbital 97.2 MG Oral Tablet"
},
{
"code": "199167",
"display": "phenobarbital 32.4 MG Oral Tablet"
},
{
"code": "199168",
"display": "phenobarbital 64.8 MG Oral Tablet"
},
{
"code": "199257",
"display": "methsuximide 150 MG Oral Capsule"
},
{
"code": "199322",
"display": "lamotrigine 50 MG Oral Tablet"
},
{
"code": "199378",
"display": "12 HR carbamazepine 100 MG Extended Release Oral Tablet"
},
{
"code": "199450",
"display": "clobazam 10 MG Oral Tablet"
},
{
"code": "199521",
"display": "vigabatrin 500 MG Oral Tablet"
},
{
"code": "199888",
"display": "topiramate 25 MG Oral Tablet"
},
{
"code": "199889",
"display": "topiramate 100 MG Oral Tablet"
},
{
"code": "199890",
"display": "topiramate 200 MG Oral Tablet"
},
{
"code": "199964",
"display": "phenobarbital 200 MG/ML Injectable Solution"
},
{
"code": "200131",
"display": "12 HR carbamazepine 300 MG Extended Release Oral Capsule"
},
{
"code": "200133",
"display": "12 HR carbamazepine 200 MG Extended Release Oral Capsule"
},
{
"code": "2001506",
"display": "lamotrigine 150 MG Oral Tablet [Subvenite]"
},
{
"code": "2001508",
"display": "lamotrigine 25 MG Oral Tablet [Subvenite]"
},
{
"code": "2003796",
"display": "lamotrigine 100 MG Oral Tablet [Subvenite]"
},
{
"code": "2003797",
"display": "{14 (lamotrigine 100 MG Oral Tablet [Subvenite]) / 84 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Green (for Patients Taking Carbamazepine, Phenytoin, Phenobarbital, or Primidone and Not Taking Valproate)]"
},
{
"code": "2003798",
"display": "{7 (lamotrigine 100 MG Oral Tablet [Subvenite]) / 42 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Orange (for Patients Not Taking Carbamazepine, Phenytoin, Phenobarbital, Primidone, or Valproate)]"
},
{
"code": "2003799",
"display": "{35 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Blue (for Patients Taking Valproate)]"
},
{
"code": "2003801",
"display": "lamotrigine 200 MG Oral Tablet [Subvenite]"
},
{
"code": "201239",
"display": "lamotrigine 5 MG Tablet for Oral Suspension [Lamictal]"
},
{
"code": "201240",
"display": "lamotrigine 25 MG Tablet for Oral Suspension [Lamictal]"
},
{
"code": "201737",
"display": "ethosuximide 250 MG Oral Capsule [Zarontin]"
},
{
"code": "201747",
"display": "primidone 250 MG Oral Tablet [Mysoline]"
},
{
"code": "204433",
"display": "ethotoin 500 MG Oral Tablet"
},
{
"code": "204511",
"display": "trimethadione 300 MG Oral Capsule"
},
{
"code": "2047868",
"display": "vigabatrin 500 MG Powder for Oral Solution [Vigadrone]"
},
{
"code": "205315",
"display": "topiramate 25 MG Oral Capsule"
},
{
"code": "205316",
"display": "topiramate 15 MG Oral Capsule"
},
{
"code": "2054973",
"display": "stiripentol 250 MG Oral Capsule"
},
{
"code": "2054979",
"display": "stiripentol 250 MG Oral Capsule [Diacomit]"
},
{
"code": "2054981",
"display": "stiripentol 500 MG Oral Capsule"
},
{
"code": "2054983",
"display": "stiripentol 500 MG Oral Capsule [Diacomit]"
},
{
"code": "2055011",
"display": "stiripentol 500 MG Powder for Oral Suspension"
},
{
"code": "2055014",
"display": "stiripentol 500 MG Powder for Oral Suspension [Diacomit]"
},
{
"code": "2055015",
"display": "stiripentol 250 MG Powder for Oral Suspension"
},
{
"code": "2055016",
"display": "stiripentol 250 MG Powder for Oral Suspension [Diacomit]"
},
{
"code": "2058253",
"display": "clobazam 10 MG Oral Film"
},
{
"code": "2058254",
"display": "clobazam 20 MG Oral Film"
},
{
"code": "2058255",
"display": "clobazam 5 MG Oral Film"
},
{
"code": "2058900",
"display": "cannabidiol 100 MG/ML Oral Solution"
},
{
"code": "2058906",
"display": "cannabidiol 100 MG/ML Oral Solution [Epidiolex]"
},
{
"code": "206157",
"display": "clonazepam 0.5 MG Oral Tablet [Klonopin]"
},
{
"code": "206159",
"display": "clonazepam 1 MG Oral Tablet [Klonopin]"
},
{
"code": "206160",
"display": "clonazepam 2 MG Oral Tablet [Klonopin]"
},
{
"code": "206201",
"display": "lamotrigine 150 MG Oral Tablet [Lamictal]"
},
{
"code": "207088",
"display": "methsuximide 300 MG Oral Capsule [Celontin]"
},
{
"code": "207478",
"display": "primidone 50 MG Oral Tablet [Mysoline]"
},
{
"code": "209026",
"display": "felbamate 400 MG Oral Tablet [Felbatol]"
},
{
"code": "209027",
"display": "felbamate 600 MG Oral Tablet [Felbatol]"
},
{
"code": "209028",
"display": "felbamate 120 MG/ML Oral Suspension [Felbatol]"
},
{
"code": "2102713",
"display": "clobazam 10 MG Oral Film [Sympazan]"
},
{
"code": "2102715",
"display": "clobazam 20 MG Oral Film [Sympazan]"
},
{
"code": "2102717",
"display": "clobazam 5 MG Oral Film [Sympazan]"
},
{
"code": "211817",
"display": "carbamazepine 200 MG Oral Tablet [Epitol]"
},
{
"code": "2265695",
"display": "cenobamate 50 MG Oral Tablet"
},
{
"code": "2265701",
"display": "cenobamate 50 MG Oral Tablet [Xcopri]"
},
{
"code": "2283503",
"display": "cenobamate 100 MG Oral Tablet"
},
{
"code": "2283505",
"display": "cenobamate 100 MG Oral Tablet [Xcopri]"
},
{
"code": "2283507",
"display": "cenobamate 150 MG Oral Tablet"
},
{
"code": "2283509",
"display": "cenobamate 150 MG Oral Tablet [Xcopri]"
},
{
"code": "2283511",
"display": "cenobamate 200 MG Oral Tablet"
},
{
"code": "2283513",
"display": "cenobamate 200 MG Oral Tablet [Xcopri]"
},
{
"code": "2283517",
"display": "{28 (cenobamate 150 MG Oral Tablet) / 28 (cenobamate 200 MG Oral Tablet) } Pack"
},
{
"code": "2283518",
"display": "{28 (cenobamate 150 MG Oral Tablet [Xcopri]) / 28 (cenobamate 200 MG Oral Tablet) } Pack [Xcopri 350 MG Maintenance Pack]"
},
{
"code": "2283520",
"display": "cenobamate 12.5 MG Oral Tablet"
},
{
"code": "2283522",
"display": "cenobamate 25 MG Oral Tablet"
},
{
"code": "2283523",
"display": "{14 (cenobamate 12.5 MG Oral Tablet) / 14 (cenobamate 25 MG Oral Tablet) } Pack"
},
{
"code": "2283525",
"display": "cenobamate 12.5 MG Oral Tablet [Xcopri]"
},
{
"code": "2283527",
"display": "cenobamate 25 MG Oral Tablet [Xcopri]"
},
{
"code": "2283535",
"display": "{14 (cenobamate 100 MG Oral Tablet) / 14 (cenobamate 50 MG Oral Tablet) } Pack"
},
{
"code": "2283536",
"display": "{14 (cenobamate 100 MG Oral Tablet [Xcopri]) / 14 (cenobamate 50 MG Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 50 MG (14), 100 MG (14) 28 Count]"
},
{
"code": "2283538",
"display": "{14 (cenobamate 12.5 MG Oral Tablet [Xcopri]) / 14 (cenobamate 25 MG Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 12.5 MG (14), 25 MG (14) 28 Count]"
},
{
"code": "2283539",
"display": "{14 (cenobamate 150 MG Oral Tablet) / 14 (cenobamate 200 MG Oral Tablet) } Pack"
},
{
"code": "2283540",
"display": "{14 (cenobamate 150 MG Oral Tablet [Xcopri]) / 14 (cenobamate 200 MG Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 150 MG (14), 200 MG (14) 28 Count]"
},
{
"code": "2381138",
"display": "fenfluramine 2.2 MG/ML Oral Solution"
},
{
"code": "2381144",
"display": "fenfluramine 2.2 MG/ML Oral Solution [Fintepla]"
},
{
"code": "246172",
"display": "clobazam 20 MG Oral Tablet"
},
{
"code": "249329",
"display": "lamotrigine 250 MG Oral Tablet"
},
{
"code": "250820",
"display": "vigabatrin 500 MG Powder for Oral Solution"
},
{
"code": "251322",
"display": "ethosuximide 50 MG/ML Oral Solution"
},
{
"code": "251325",
"display": "phenobarbital 15 MG/ML Injectable Solution"
},
{
"code": "252413",
"display": "topiramate 50 MG Oral Capsule"
},
{
"code": "252478",
"display": "lamotrigine 50 MG Disintegrating Oral Tablet"
},
{
"code": "252479",
"display": "lamotrigine 200 MG Disintegrating Oral Tablet"
},
{
"code": "2540431",
"display": "{28 (cenobamate 100 MG Oral Tablet) / 28 (cenobamate 150 MG Oral Tablet) } Pack"
},
{
"code": "2540432",
"display": "{28 (cenobamate 100 MG Oral Tablet [Xcopri]) / 28 (cenobamate 150 MG Oral Tablet [Xcopri]) } Pack [Xcopri 250 MG Maintenance Pack - 100 MG (28), 150 MG (28) 56 Count]"
},
{
"code": "2585478",
"display": "50 ML levetiracetam 5 MG/ML Injection"
},
{
"code": "2586427",
"display": "topiramate 25 MG/ML Oral Solution"
},
{
"code": "2586433",
"display": "topiramate 25 MG/ML Oral Solution [Eprontia]"
},
{
"code": "259224",
"display": "zonisamide 100 MG Oral Tablet"
},
{
"code": "2604694",
"display": "ganaxolone 50 MG/ML Oral Suspension"
},
{
"code": "2604700",
"display": "ganaxolone 50 MG/ML Oral Suspension [Ztalmy]"
},
{
"code": "2606782",
"display": "zonisamide 20 MG/ML Oral Suspension"
},
{
"code": "2606788",
"display": "zonisamide 20 MG/ML Oral Suspension [Zonisade]"
},
{
"code": "2612668",
"display": "rufinamide 100 MG Oral Tablet"
},
{
"code": "261280",
"display": "gabapentin 600 MG Oral Tablet [Neurontin]"
},
{
"code": "261281",
"display": "gabapentin 800 MG Oral Tablet [Neurontin]"
},
{
"code": "261335",
"display": "levetiracetam 250 MG Oral Tablet [Keppra]"
},
{
"code": "261336",
"display": "levetiracetam 500 MG Oral Tablet [Keppra]"
},
{
"code": "261356",
"display": "oxcarbazepine 150 MG Oral Tablet [Trileptal]"
},
{
"code": "261360",
"display": "oxcarbazepine 300 MG Oral Tablet [Trileptal]"
},
{
"code": "262090",
"display": "oxcarbazepine 600 MG Oral Tablet [Trileptal]"
},
{
"code": "2624719",
"display": "phenobarbital sodium 100 MG Injection"
},
{
"code": "2624724",
"display": "phenobarbital sodium 100 MG Injection [Sezaby]"
},
{
"code": "2626485",
"display": "pentobarbital sodium 390 MG/ML / phenytoin sodium 50 MG/ML Injectable Solution [Euthaphen]"
},
{
"code": "2637018",
"display": "24 HR lacosamide 100 MG Extended Release Oral Capsule"
},
{
"code": "2637025",
"display": "24 HR lacosamide 100 MG Extended Release Oral Capsule [Motpoly]"
},
{
"code": "2637027",
"display": "24 HR lacosamide 150 MG Extended Release Oral Capsule"
},
{
"code": "2637030",
"display": "24 HR lacosamide 150 MG Extended Release Oral Capsule [Motpoly]"
},
{
"code": "2637032",
"display": "24 HR lacosamide 200 MG Extended Release Oral Capsule"
},
{
"code": "2637035",
"display": "24 HR lacosamide 200 MG Extended Release Oral Capsule [Motpoly]"
},
{
"code": "2641918",
"display": "{14 (perampanel 2 MG Oral Tablet) } Pack"
},
{
"code": "2641919",
"display": "{14 (perampanel 2 MG Oral Tablet [FYCOMPA]) } Pack [Fycompa 2 MG 2-Week Sample Kit]"
},
{
"code": "2642353",
"display": "vigabatrin 500 MG Oral Tablet [Vigadrone]"
},
{
"code": "2668482",
"display": "vigabatrin 500 MG Powder for Oral Solution [Vigpoder]"
},
{
"code": "2671204",
"display": "1 ML phenobarbital sodium 130 MG/ML Injection"
},
{
"code": "2671207",
"display": "1 ML phenobarbital sodium 65 MG/ML Injection"
},
{
"code": "2685217",
"display": "vigabatrin 100 MG/ML Oral Solution"
},
{
"code": "2685223",
"display": "vigabatrin 100 MG/ML Oral Solution [Vigafyde]"
},
{
"code": "2709585",
"display": "phenobarbital 16.2 MG Oral Tablet [Fidoquel]"
},
{
"code": "2709587",
"display": "phenobarbital 30 MG Oral Tablet [Fidoquel]"
},
{
"code": "2709589",
"display": "phenobarbital 32.4 MG Oral Tablet [Fidoquel]"
},
{
"code": "2709591",
"display": "phenobarbital 60 MG Oral Tablet [Fidoquel]"
},
{
"code": "2709593",
"display": "phenobarbital 64.8 MG Oral Tablet [Fidoquel]"
},
{
"code": "2709595",
"display": "phenobarbital 97.2 MG Oral Tablet [Fidoquel]"
},
{
"code": "2709597",
"display": "phenobarbital 100 MG Oral Tablet [Fidoquel]"
},
{
"code": "2709599",
"display": "phenobarbital 15 MG Oral Tablet [Fidoquel]"
},
{
"code": "282401",
"display": "lamotrigine 25 MG Oral Tablet"
},
{
"code": "282462",
"display": "phenobarbital 30 MG/ML Injectable Solution"
},
{
"code": "282463",
"display": "phenobarbital 60 MG/ML Injectable Solution"
},
{
"code": "283523",
"display": "gabapentin 50 MG/ML Oral Solution"
},
{
"code": "283536",
"display": "oxcarbazepine 60 MG/ML Oral Suspension"
},
{
"code": "284391",
"display": "levetiracetam 750 MG Oral Tablet [Keppra]"
},
{
"code": "284408",
"display": "zonisamide 100 MG Oral Capsule [Zonegran]"
},
{
"code": "308971",
"display": "carbamazepine 20 MG/ML Oral Suspension [Tegretol]"
},
{
"code": "308972",
"display": "carbamazepine 200 MG Oral Tablet [Tegretol]"
},
{
"code": "308973",
"display": "carbamazepine 100 MG Chewable Tablet"
},
{
"code": "308974",
"display": "carbamazepine 100 MG Chewable Tablet [Tegretol]"
},
{
"code": "308976",
"display": "carbamazepine 20 MG/ML Oral Suspension"
},
{
"code": "308977",
"display": "12 HR carbamazepine 200 MG Extended Release Oral Capsule [Carbatrol]"
},
{
"code": "308979",
"display": "carbamazepine 200 MG Oral Tablet"
},
{
"code": "310285",
"display": "felbamate 120 MG/ML Oral Suspension"
},
{
"code": "310430",
"display": "gabapentin 100 MG Oral Capsule"
},
{
"code": "310431",
"display": "gabapentin 300 MG Oral Capsule"
},
{
"code": "310432",
"display": "gabapentin 400 MG Oral Capsule"
},
{
"code": "310433",
"display": "gabapentin 600 MG Oral Tablet"
},
{
"code": "310434",
"display": "gabapentin 800 MG Oral Tablet"
},
{
"code": "311264",
"display": "lamotrigine 25 MG Tablet for Oral Suspension"
},
{
"code": "311265",
"display": "lamotrigine 5 MG Tablet for Oral Suspension"
},
{
"code": "311288",
"display": "levetiracetam 250 MG Oral Tablet"
},
{
"code": "311289",
"display": "levetiracetam 500 MG Oral Tablet"
},
{
"code": "311290",
"display": "levetiracetam 750 MG Oral Tablet"
},
{
"code": "312136",
"display": "oxcarbazepine 150 MG Oral Tablet"
},
{
"code": "312137",
"display": "oxcarbazepine 300 MG Oral Tablet"
},
{
"code": "312138",
"display": "oxcarbazepine 600 MG Oral Tablet"
},
{
"code": "312357",
"display": "phenobarbital 15 MG Oral Tablet"
},
{
"code": "312362",
"display": "phenobarbital 30 MG Oral Tablet"
},
{
"code": "312363",
"display": "phenobarbital 32 MG Oral Tablet"
},
{
"code": "312368",
"display": "phenobarbital 90 MG Oral Tablet"
},
{
"code": "312370",
"display": "phenobarbital 130 MG/ML Injectable Solution"
},
{
"code": "312627",
"display": "primidone 50 MG/ML Oral Suspension"
},
{
"code": "313931",
"display": "12 HR carbamazepine 300 MG Extended Release Oral Capsule [Carbatrol]"
},
{
"code": "314285",
"display": "zonisamide 100 MG Oral Capsule"
},
{
"code": "328176",
"display": "primidone 125 MG Oral Tablet"
},
{
"code": "349010",
"display": "lamotrigine 2 MG Tablet for Oral Suspension"
},
{
"code": "349194",
"display": "clonazepam 0.125 MG Disintegrating Oral Tablet"
},
{
"code": "349195",
"display": "clonazepam 0.25 MG Disintegrating Oral Tablet"
},
{
"code": "349196",
"display": "clonazepam 1 MG Disintegrating Oral Tablet"
},
{
"code": "349197",
"display": "clonazepam 2 MG Disintegrating Oral Tablet"
},
{
"code": "349198",
"display": "clonazepam 0.5 MG Disintegrating Oral Tablet"
},
{
"code": "351973",
"display": "gabapentin 50 MG/ML Oral Solution [Neurontin]"
},
{
"code": "351992",
"display": "oxcarbazepine 60 MG/ML Oral Suspension [Trileptal]"
},
{
"code": "387003",
"display": "levetiracetam 1000 MG Oral Tablet"
},
{
"code": "387007",
"display": "clonazepam 0.1 MG/ML Oral Solution"
},
{
"code": "387008",
"display": "clonazepam 0.4 MG/ML Oral Solution"
},
{
"code": "388311",
"display": "12 HR carbamazepine 100 MG Extended Release Oral Capsule"
},
{
"code": "391875",
"display": "lamotrigine 2 MG Oral Tablet"
},
{
"code": "402505",
"display": "12 HR carbamazepine 200 MG Extended Release Oral Tablet"
},
{
"code": "402506",
"display": "12 HR carbamazepine 400 MG Extended Release Oral Tablet"
},
{
"code": "403884",
"display": "levetiracetam 100 MG/ML Oral Solution"
},
{
"code": "403966",
"display": "zonisamide 25 MG Oral Capsule"
},
{
"code": "403967",
"display": "zonisamide 50 MG Oral Capsule"
},
{
"code": "404595",
"display": "levetiracetam 100 MG/ML Oral Solution [Keppra]"
},
{
"code": "404725",
"display": "zonisamide 25 MG Oral Capsule [Zonegran]"
},
{
"code": "404742",
"display": "12 HR carbamazepine 100 MG Extended Release Oral Capsule [Carbatrol]"
},
{
"code": "429777",
"display": "phenobarbital 50 MG Oral Tablet"
},
{
"code": "434285",
"display": "carbamazepine 300 MG Extended Release Oral Tablet"
},
{
"code": "434286",
"display": "carbamazepine 150 MG Extended Release Oral Tablet"
},
{
"code": "434287",
"display": "carbamazepine 600 MG Extended Release Oral Tablet"
},
{
"code": "476673",
"display": "gabapentin 100 MG Oral Tablet"
},
{
"code": "476679",
"display": "gabapentin 400 MG Oral Tablet"
},
{
"code": "542426",
"display": "lamotrigine 2 MG Tablet for Oral Suspension [Lamictal]"
},
{
"code": "602399",
"display": "gabapentin 100 MG Oral Tablet [Gabarone]"
},
{
"code": "602407",
"display": "gabapentin 400 MG Oral Tablet [Gabarone]"
},
{
"code": "630807",
"display": "levetiracetam 1000 MG Oral Tablet [Keppra]"
},
{
"code": "647121",
"display": "5 ML levetiracetam 100 MG/ML Injection"
},
{
"code": "647123",
"display": "5 ML levetiracetam 100 MG/ML Injection [Keppra]"
},
{
"code": "672908",
"display": "12 HR carbamazepine 100 MG Extended Release Oral Capsule [Equetro]"
},
{
"code": "672909",
"display": "12 HR carbamazepine 300 MG Extended Release Oral Capsule [Equetro]"
},
{
"code": "672910",
"display": "12 HR carbamazepine 200 MG Extended Release Oral Capsule [Equetro]"
},
{
"code": "702519",
"display": "phenobarbital 4 MG/ML Oral Solution"
},
{
"code": "751139",
"display": "{35 (lamotrigine 25 MG Oral Tablet) } Pack"
},
{
"code": "751563",
"display": "{7 (lamotrigine 100 MG Oral Tablet) / 42 (lamotrigine 25 MG Oral Tablet) } Pack"
},
{
"code": "753451",
"display": "{14 (lamotrigine 100 MG Oral Tablet) / 84 (lamotrigine 25 MG Oral Tablet) } Pack"
},
{
"code": "755357",
"display": "ethosuximide 50 MG/ML Oral Solution [Zarontin]"
},
{
"code": "756143",
"display": "phenobarbital 3 MG/ML Oral Solution"
},
{
"code": "795772",
"display": "{35 (lamotrigine 25 MG Oral Tablet [Lamictal]) } Pack [Lamictal Blue (For Patients Taking Valproate)]"
},
{
"code": "795774",
"display": "{7 (lamotrigine 100 MG Oral Tablet [Lamictal]) / 42 (lamotrigine 25 MG Oral Tablet [Lamictal]) } Pack [Lamictal Orange (For Patients Not Taking Carbamazepine, Phenytoin, Phenobarbital, Primidone, or Rifampin and Not Taking Valproate)]"
},
{
"code": "795778",
"display": "{14 (lamotrigine 100 MG Oral Tablet [Lamictal]) / 84 (lamotrigine 25 MG Oral Tablet [Lamictal]) } Pack [Lamictal Green (For Patients Taking Carbamazepine, Phenytoin, Phenobarbital, Primidone, or Rifampin and Not Taking Valproate)]"
},
{
"code": "807832",
"display": "24 HR levetiracetam 500 MG Extended Release Oral Tablet"
},
{
"code": "807834",
"display": "24 HR levetiracetam 500 MG Extended Release Oral Tablet [Keppra]"
},
{
"code": "809974",
"display": "20 ML lacosamide 10 MG/ML Injection"
},
{
"code": "809984",
"display": "20 ML lacosamide 10 MG/ML Injection [Vimpat]"
},
{
"code": "809987",
"display": "lacosamide 100 MG Oral Tablet"
},
{
"code": "809990",
"display": "lacosamide 100 MG Oral Tablet [Vimpat]"
},
{
"code": "809992",
"display": "lacosamide 150 MG Oral Tablet"
},
{
"code": "809994",
"display": "lacosamide 150 MG Oral Tablet [Vimpat]"
},
{
"code": "809996",
"display": "lacosamide 200 MG Oral Tablet"
},
{
"code": "809998",
"display": "lacosamide 200 MG Oral Tablet [Vimpat]"
},
{
"code": "810000",
"display": "lacosamide 50 MG Oral Tablet"
},
{
"code": "810002",
"display": "lacosamide 50 MG Oral Tablet [Vimpat]"
},
{
"code": "824295",
"display": "rufinamide 200 MG Oral Tablet"
},
{
"code": "824299",
"display": "rufinamide 200 MG Oral Tablet [Banzel]"
},
{
"code": "824301",
"display": "rufinamide 400 MG Oral Tablet"
},
{
"code": "824303",
"display": "rufinamide 400 MG Oral Tablet [Banzel]"
},
{
"code": "845478",
"display": "topiramate 15 MG Oral Capsule [Topamax]"
},
{
"code": "845479",
"display": "topiramate 25 MG Oral Capsule [Topamax]"
},
{
"code": "846378",
"display": "24 HR levetiracetam 750 MG Extended Release Oral Tablet"
},
{
"code": "847673",
"display": "24 HR levetiracetam 750 MG Extended Release Oral Tablet [Keppra]"
},
{
"code": "849049",
"display": "lamotrigine 100 MG Disintegrating Oral Tablet [Lamictal]"
},
{
"code": "849050",
"display": "lamotrigine 200 MG Disintegrating Oral Tablet [Lamictal]"
},
{
"code": "849051",
"display": "lamotrigine 25 MG Disintegrating Oral Tablet [Lamictal]"
},
{
"code": "849052",
"display": "lamotrigine 50 MG Disintegrating Oral Tablet [Lamictal]"
},
{
"code": "850087",
"display": "24 HR lamotrigine 100 MG Extended Release Oral Tablet"
},
{
"code": "850091",
"display": "24 HR lamotrigine 50 MG Extended Release Oral Tablet"
},
{
"code": "851748",
"display": "{21 (lamotrigine 25 MG Disintegrating Oral Tablet) / 7 (lamotrigine 50 MG Disintegrating Oral Tablet) } Pack"
},
{
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},
{
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},
{
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},
{
"code": "851752",
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},
{
"code": "851753",
"display": "{14 (lamotrigine 100 MG Disintegrating Oral Tablet [Lamictal]) / 42 (lamotrigine 50 MG Disintegrating Oral Tablet [Lamictal]) } Pack [Lamictal ODT Green Titration Kit (for Patients Taking Enzyme-Inducing Drugs and Not Taking Valproate)]"
},
{
"code": "855671",
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},
{
"code": "855673",
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},
{
"code": "855675",
"display": "phenytoin sodium 100 MG Oral Capsule"
},
{
"code": "855861",
"display": "phenytoin sodium 200 MG Extended Release Oral Capsule"
},
{
"code": "855863",
"display": "phenytoin sodium 200 MG Extended Release Oral Capsule [Phenytek]"
},
{
"code": "855869",
"display": "phenytoin sodium 30 MG Extended Release Oral Capsule"
},
{
"code": "855871",
"display": "phenytoin sodium 30 MG Extended Release Oral Capsule [Dilantin]"
},
{
"code": "855873",
"display": "phenytoin sodium 300 MG Extended Release Oral Capsule"
},
{
"code": "855875",
"display": "phenytoin sodium 300 MG Extended Release Oral Capsule [Phenytek]"
},
{
"code": "855911",
"display": "2 ML phenytoin sodium 50 MG/ML Cartridge"
},
{
"code": "855930",
"display": "phenytoin sodium 100 MG Oral Tablet"
},
{
"code": "855936",
"display": "phenytoin sodium 25 MG Oral Capsule"
},
{
"code": "855945",
"display": "phenytoin sodium 300 MG Oral Capsule"
},
{
"code": "855946",
"display": "phenytoin sodium 50 MG Oral Capsule"
},
{
"code": "860895",
"display": "vigabatrin 500 MG Oral Tablet [Sabril]"
},
{
"code": "860898",
"display": "vigabatrin 500 MG Powder for Oral Solution [Sabril]"
},
{
"code": "866303",
"display": "12 HR carbamazepine 100 MG Extended Release Oral Tablet [Tegretol]"
},
{
"code": "866305",
"display": "12 HR carbamazepine 200 MG Extended Release Oral Tablet [Tegretol]"
},
{
"code": "866307",
"display": "12 HR carbamazepine 400 MG Extended Release Oral Tablet [Tegretol]"
},
{
"code": "881271",
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},
{
"code": "881272",
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},
{
"code": "900145",
"display": "24 HR lamotrigine 100 MG Extended Release Oral Tablet [Lamictal]"
},
{
"code": "900156",
"display": "24 HR lamotrigine 200 MG Extended Release Oral Tablet"
},
{
"code": "900157",
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},
{
"code": "900164",
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},
{
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},
{
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},
{
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"display": "{14 (24 HR lamotrigine 100 MG Extended Release Oral Tablet) / 7 (24 HR lamotrigine 200 MG Extended Release Oral Tablet) / 14 (24 HR lamotrigine 50 MG Extended Release Oral Tablet) } Pack"
},
{
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},
{
"code": "900890",
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},
{
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},
{
"code": "900983",
"display": "{21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet) } Pack"
},
{
"code": "900984",
"display": "{21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)]"
},
{
"code": "96304",
"display": "primidone 250 MG Oral Tablet"
},
{
"code": "993856",
"display": "lacosamide 10 MG/ML Oral Solution"
},
{
"code": "995156",
"display": "lacosamide 10 MG/ML Oral Solution [Vimpat]"
}
]
}
]
},
"expansion": {
"identifier": "urn:uuid:83b7556d-cdd8-4508-8097-9e91d4128ee4",
"timestamp": "2025-05-23T17:45:42-04:00",
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{
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{
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{
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{
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{
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{
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{
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},
{
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},
{
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},
{
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"code": "1299903",
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},
{
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{
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{
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{
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},
{
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},
{
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{
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},
{
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"version": "05052025",
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},
{
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},
{
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"code": "1313888",
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},
{
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},
{
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},
{
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"version": "05052025",
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},
{
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"version": "05052025",
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},
{
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"code": "1356572",
"display": "perampanel 4 MG Oral Tablet [FYCOMPA]"
},
{
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},
{
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