CLONAZEPAM

clonazepam 2.5 mg/mL (0.1 mg/drop) oral liquid, 10 mL

CLONAZEPAM (5339B)

clonazepam 2.5 mg/mL (0.1 mg/drop) oral liquid, 10 mL
5339B
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: 2 Max qty units: 2 # of repeats: 3 DPMQ: $21.32 Max safety net: $22.80 General Patient Charge: $25.00
Available brands
Rivotril