Product Details
PMS-Lorazepam
Lorazepam1 mg
Tablet
DIN/PIN/NPN
00728195
Manufacturer
Pharmascience Inc.
Formulary Listing Date
2002-04-04
Unit Price
0.0447
Amount MOH Pays
0.0447
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N05BA06
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00637742 | Teva-Lorazepam | 0.0447 | 0.0447 |
| 00728195 | PMS-Lorazepam | 0.0447 | 0.0447 |
| 02041421 | Ativan | 0.0565 | 0.0447 |
| 00655759 | Apo-Lorazepam | 0.0447 | 0.0447 |