Product Details

Clorazepate

Clorazepate Dipotassium
3.75 mg
Capsule


DIN/PIN/NPN

00860689

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.1972

Amount MOH Pays

0.1972

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05BA05

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00264938 Tranxene NA NA
00860689 Clorazepate 0.1972 0.1972
 

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph