CLONAZEPAM
Body System:
Manner of administration:Oral
Restriction
Indication: Epilepsy
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 200 | # of repeats: 2 | DPMQ: $32.78 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Paxam 2 | |||||
Body System:
Manner of administration:Oral
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 | |||||