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AMIFAMPRIDINE TAB,ORAL

Clinical Criteria Summary

Exclusion Criteria

  • History of seizures
  • Forced vital capacity < 1500 ml

Inclusion Criteria

  • Must be prescribed by or in consultation with a VA or VA-authorized neurologist
  • Diagnosis of Lambert-Eaton myasthenic syndrome via nerve conduction studies or positive anti-P/Q type voltage-gated calcium channel antibody test
  • Patient has the ability to swallow 4 ounces of water without coughing or throat clearing

Source Documents