Product Details

Chlordiazepoxide

Chlordiazepoxide
25 mg
Capsule


DIN/PIN/NPN

00522996

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.2216

Amount MOH Pays

0.2216

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05BA02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00012645 Librium NA NA
00522996 Chlordiazepoxide 0.2216 0.2216
 

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph