DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:24:00 SEDATIVES AND HYPNOTICS

Lorazepam Sublingual (LORAZEPAM)2mg SL Tab

DIN/PIN/NPN:02410761

Interchangeables:

Manufacturer:

A A Pharma Inc.

Formulary Listing Date:

2013-10-31

Drug Benefit Price or Unit Price:

0.2152

Amount MOH Pays:

N/A

Coverage Status:

Off-Formulary Interchangeable