DIAZEPAM

diazepam 10 mg/10 mL oral liquid, 100 mL

DIAZEPAM (2669L)

diazepam 10 mg/10 mL oral liquid, 100 mL
2669L
Body System:
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic spasticity
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $45.65 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Diazepam Elixir