DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:16:08 PSYCHOTHERAPEUTIC AGENTS TRANQUILIZERS

Clorazepate (CLORAZEPATE DIPOTASSIUM)3.75mg Cap

DIN/PIN/NPN:00860689

Interchangeables:

Manufacturer:

A A Pharma Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

0.1687

Amount MOH Pays:

0.1687

Coverage Status:

General Benefit