LEVETIRACETAM Ontario LU Codes and Criteria

Drug list

CENTRAL NERVOUS SYSTEM DRUGS › ANTICONVULSANTS

LEVETIRACETAM (Mint-Levetiracetam Solution · PDP-Levetiracetam · Pharma-Levetiracetam)

100mg/mLOral Sol

LU640

QUICK SCAN

For patients unable to swallow or tolerate oral solid dosage forms and who are using this as adjunctive therapy in the treatment of seizure disorders where control by other listed anticonvulsants has been unsatisfactory.

Complete Ontario criteria

For patients unable to swallow or tolerate oral solid dosage forms and who are using this as adjunctive therapy in the treatment of seizure disorders where control by other listed anticonvulsants has been unsatisfactory.

LU705

QUICK SCAN

As adjunctive therapy in the treatment of seizure disorders in pediatric patients (less than 18 years of age) where control by other listed anticonvulsants has been unsatisfactory and where the appropriate dose cannot be achieved using listed solid oral levetiracetam dosage formats.

Complete Ontario criteria

As adjunctive therapy in the treatment of seizure disorders in pediatric patients (less than 18 years of age) where control by other listed anticonvulsants has been unsatisfactory and where the appropriate dose cannot be achieved using listed solid oral levetiracetam dosage formats.