CLONAZEPAM

clonazepam 2 mg tablet, 100

CLONAZEPAM (5338Y)

clonazepam 2 mg tablet, 100
5338Y
Manner of administration:Oral
Palliative Care
Restricted Benefit

Restriction

Indication: For use in patients receiving palliative care
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 3 DPMQ: $23.28 Max safety net: $24.76 General Patient Charge: $25.00
Available brands
Paxam 2