CLONAZEPAM
clonazepam 500 microgram tablet, 50
CLONAZEPAM (11559J)
11559J
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: 4 | Max qty units: 200 | # of repeats: 2 | DPMQ: - | Max safety net: - | General Patient Charge: - |
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DPMQ: $31.04 | Max safety net: $25.00 | General Patient Charge: $28.68 | ||
