Product Details

Lorazepam Sublingual

Lorazepam
1 mg
SL Tablet

DIN/PIN/NPN

02410753

Manufacturer

A A Pharma Inc.

Formulary Listing Date

2013-10-31

Unit Price

0.1385

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05BA06

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02410753	Lorazepam Sublingual	0.1385	NA
02041464	Ativan	NA	NA

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph