Prescription required for Retail Sales DIAZEPAM

Material Number:
67729
Active Ingredient:
DIAZEPAM
Brand Reference:
VIVOL
 
Therapeutic Class (AHFS):
28:24.08
Strength:
10 MG
DIN:
00405337
UPC:
660933002610
Pack Size (Form):
100 TABLETS(BOTTLE)
 
Dosage Form:
Tablet
Scored:
Yes
Colour:
Blue
Shape:
round, flat-faced, bevelled-edge tablet
Markings:
Scored and engraved APO over 10 on one side, other side plain
 
Route of Administration:
Oral
Refrigeration Required:
No
 
Product image 1Product image 2

not to scale
 
Packaging Information:
 
Length
Width
Height
Weight
Unit/Case
Unit
4.5 cm
4.5 cm
8 cm
0.033 kg
N/A
Case
13.5 cm
18 cm
8.0 cm
0.396 kg
12
Provincial Formulary Coverage:
B
X
B
X
X
X
X
X
X
X
 
Provincial Formulary Legend:
B
Benefit (Non-Interchangeable)
I
Interchangeable Only (Non-Benefit)
X
Interchangeable
BNL
Brand Not Listed
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