CLONAZEPAM

clonazepam 500 microgram tablet, 100

CLONAZEPAM (5337X)

clonazepam 500 microgram tablet, 100
5337X
Manner of administration:Oral
Palliative Care
Restricted Benefit

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: $20.56 Max safety net: $22.04 General Patient Charge: $24.83
Available brands
Paxam 0.5