Product Details
Diazepam Injection USP
Diazepam5 mg/mL
Solution for Injection (Preservative-Free)
DIN/PIN/NPN
00399728
Manufacturer
Sandoz Canada Inc.
Formulary Listing Date
2017-02-28
Unit Price
1.6415
Amount MOH Pays
1.6415
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N05BA01
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 481 | 1 year | For the management of patients receiving palliative care*. *Note: The patient must have a progressive life-limiting illness and require this medication for palliative purposes. |