Product Details

Diazepam

Diazepam
5 mg
Tablet


DIN/PIN/NPN

00362158

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.1662

Amount MOH Pays

0.1662

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05BA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00013285 Valium NA NA
00362158 Diazepam 0.1662 0.1662
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph