MIDAZOLAM

MIDAZOLAM (14292F)

midazolam 5 mg/0.5 mL oral liquid, 0.5 mL syringe
14292F
Body System:
Manner of administration:Buccal
General Schedule
Authority Required

Restriction

Indication: Generalized convulsive status epilepticus
Treatment phase: Initial treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 1 DPMQ: $279.74 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Zyamis

MIDAZOLAM (14293G)

midazolam 5 mg/0.5 mL oral liquid, 0.5 mL syringe
14293G
Body System:
Manner of administration:Buccal
General Schedule
Authority Required

Restriction

Indication: Generalized convulsive status epilepticus
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 1 DPMQ: $279.74 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Zyamis