Product Details

Triazolam

Triazolam
0.25 mg
Tablet


DIN/PIN/NPN

00808571

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.2551

Amount MOH Pays

0.2551

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05CD05

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00808571 Triazolam 0.2551 0.2551
00443158 Halcion NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph