DIAZEPAM
diazepam 5 mg tablet, 50
DIAZEPAM (5356X)
5356X
Body System:
Manner of administration:Oral
Restriction
Indication: Anxiety
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 1 | Max qty units: 50 | # of repeats: 3 | DPMQ: $16.70 | Max safety net: $18.18 | General Patient Charge: $20.97 |
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DPMQ: $19.78 | Max safety net: $18.18 | General Patient Charge: $24.05 | ||
