CLONAZEPAM

clonazepam 1 mg/mL injection [5 x 1 mL ampoules] (&) inert substance diluent [5 x 1 mL ampoules], 1 pack

CLONAZEPAM (1807D)

clonazepam 1 mg/mL injection [5 x 1 mL ampoules] (&) inert substance diluent [5 x 1 mL ampoules], 1 pack
1807D
Body System:
Manner of administration:Injection
General Schedule
Restricted Benefit

Restriction

Indication: Epilepsy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 5 # of repeats: 0 DPMQ: $24.36 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rivotril