Product Details

Ativan

Lorazepam
1 mg
Tablet

DIN/PIN/NPN

02041421

Manufacturer

Pfizer Canada Inc.

Formulary Listing Date

1996-10-01

Unit Price

0.0565

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

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph