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28 results for "Benzodiazepines"

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Drug Name	Generic Name	Strength	Form	Plans Covering	Actions
lorazepam GENITOURINARY AGENTS - MISC. Also: lorazepam oral concentrate 2 mg/, lorazepam oral tablet, lorazepam tab 0.5 mg, 1 mg, 2 mg, Lorazepam 2 Mg/Ml Oral Concentrate, Lorazepam 0.5 Mg Tablet, Lorazepam 1 Mg Tablet, Lorazepam 2 Mg Tablet, LOREEV XR, LORazepam Oral Tablet, LORazepam Oral Concentrate	—	1 mg, 1.5 mg, 2 mg, 3 mg	Tablet	241 plans	Details
diazepam intensol conc Brand for diazepam intensol conc 5mg/ml BENZODIAZEPINES Also: diazepam intensol conc 5mg/ml, Diazepam Intensol Conc 5mg/ml	diazepam intensol conc 5mg/ml	5mg	—	6 plans	Details
diazepam intensol Benzodiazepines	—	—	—	0 plans	Details
diazepam (anticonvulsant) ANTICONVULSANTS - BENZODIAZEPINES Also: diazepam (anticonvulsant) gel 2.5mg, 10mg, 20mg, diazepam (anticonvulsant) gel 2.5mg, 10mg,	—	2.5mg, 10mg, 20mg	Gel	6 plans	Details
diazepam Brand for Libervant Buccal GENITOURINARY AGENTS - MISC. Also: diazepam oral concentrate, diazepam oral solution, diazepam oral tablet, DIAZEPAM SOLN 5MG/ML, diazepam oral soln 1 mg/ml, diazepam tab 2 mg, 5 mg, 10 mg, Diazepam 5 Mg/Ml Oral Concentrate, Diazepam 25 Mg/5 Ml Oral Concentrate, Diazepam 5 Mg/5 Ml Oral Solution, Diazepam 2.5 Mg Rectal Gel (2Pk), Diazepam 10 Mg Rectal Gel (2Pk), Diazepam 20 Mg Rectal Gel (2Pk), Diazepam 10 Mg Rectal Gel Syringe, Diazepam 20 Mg Rectal Gel Syringe, Diazepam 2 Mg Tablet, Diazepam 5 Mg Tablet, Diazepam 10 Mg Tablet, VALIUM, diazePAM Oral Tablet, diazePAM Oral Solution, diazePAM Oral Concentrate	Libervant Buccal	2 mg, 5 mg, 10 mg	Tablet	249 plans	Details
clobazam Brand for Sympazan ANTICONVULSANTS Also: clobazam oral suspension 2 .5 mg/ml, clobazam oral tablet, clobazam susp 2.5mg/ml; tabs 10mg, 20mg, clobazam suspension 2.5 mg/ml, clobazam tab 10 mg, 20 mg, Clobazam 2.5 Mg/Ml Oral Suspension, Clobazam 10 Mg Tablet, Clobazam 20 Mg Tablet, SYMPAZAN, cloBAZam Oral Suspension, cloBAZam Oral Tablet	Sympazan	10 mg, 20 mg, 5 mg	Suspension	247 plans	Details
alprazolam xr tb24 .5mg Brand for alprazolam xr (base equiv) Also: alprazolam xr tb24 .5mg, 1mg, 2mg, 3mg, Alprazolam Xr Tb24 .5mg, 1mg, 2mg, 3mg	alprazolam xr	5mg, 1mg, 2mg, 3mg	—	3 plans	Details
alprazolam er Benzodiazepines	—	0.5 MG	—	20 plans	Details
alprazolam GENITOURINARY AGENTS - MISC. Also: alprazolam oral tablet, alprazolam oral tablet dispersible, alprazolam tabs .25mg, .5mg, 1mg, 2mg; tb24 .5mg, 1mg, 2mg, 3mg; tbdp .25mg, .5mg, 1mg, 2mg, alprazolam tab er 24hr 0.5 mg, 1 mg, 2 mg, 3 mg, alprazolam tab 0.25 mg, 0.5 mg, 1 mg, 2 mg, Alprazolam 0.25 Mg Odt Tablet, Alprazolam 0.5 Mg Odt Tablet, Alprazolam 1 Mg Odt Tablet, Alprazolam 2 Mg Odt Tablet, Alprazolam 0.25 Mg Tablet, Alprazolam 0.5 Mg Tablet, Alprazolam 1 Mg Tablet, Alprazolam 2 Mg Tablet, Alprazolam Er 0.5 Mg Tablet, Alprazolam Er 1 Mg Tablet, Alprazolam Er 2 Mg Tablet, Alprazolam Er 3 Mg Tablet, alprazolam tabs .25mg, .5mg, 1mg, 2mg; tb24, ALPRAZolam Oral Tablet	—	0.25 mg, 0.5 mg, 1 mg, 2 mg	Tablet	245 plans	Details
Xanax Xr Tb24 .5Mg BENZODIAZEPINES Also: XANAX XR TB24 .5MG, 1MG, 2MG, 3MG	—	5MG, 1MG, 2MG, 3MG	Extended Release Tablet	3 plans	Details
Xanax Xr Brand for alprazolam GENITOURINARY AGENTS - MISC. Also: XANAX XR TB24 2MG	alprazolam	2MG	Extended Release Tablet	7 plans	Details
Xanax Brand for alprazolam BENZODIAZEPINES Also: XANAX TABS .25MG, .5MG, 1MG, 2MG	alprazolam	25MG	Tablet	10 plans	Details
Valtoco Brand for Diazepam ANTICONVULSANTS Also: VALTOCO 5 MG DOSE LIQD 5MG/0.1ML, VALTOCO 10 MG DOSE LIQD 10MG/0.1ML, VALTOCO 15 MG DOSE LQPK 7.5MG/0.1ML, VALTOCO 20 MG DOSE LQPK 10MG/0.1ML, Valtoco 10 Mg Dose, Valtoco 15 Mg Dose, Valtoco 20 Mg Dose, Valtoco 5 Mg Dose, Diazepam	Diazepam	10 MG	Nasal Spray	161 plans	Details
Valium Brand for diazepam BENZODIAZEPINES Also: VALIUM TABS 2MG, 5MG, 10MG	diazepam	2MG, 5MG, 10MG	Tablet	10 plans	Details
Sympazan Brand for clobazam Second Generation — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any second generation product. Also: clobazam, Sympazan Oral Film	clobazam	10 MG	Film	151 plans	Details
Quazepam Benzodiazepines Also: Doral, quazepam tabs 15mg, Quazepam 15 Mg Tablet, Quazepam Oral Tablet	—	15 Mg	Tablet	75 plans	Details
Onfi Brand for clobazam ANTICONVULSANTS - BENZODIAZEPINES Also: ONFI SUSP 2.5MG/ML; TABS 10MG, 20MG	clobazam	2.5MG	Suspension	10 plans	Details
Lorazepam Intensol Benzodiazepines Also: Lorazepam Intensol 2 Mg/Ml Oral Concentrate	—	—	Tablet	0 plans	Details
Libervant Buccal Brand for diazepam Second Generation — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any second generation product. Also: diazepam, LIBERVANT FILM 5MG, 7.5MG, 10MG, 12.5MG, 15MG, LIBERVANT FILM 5MG, 7.5MG, 10MG, 12.5MG,	diazepam	5MG, 7.5MG, 10MG, 12.5MG, 15MG	Film	1 plan	Details
Libervant Brand for diazepam Benzodiazepine Also: LIBERVANT FILM 5MG, 7.5MG, 10MG, 12.5MG, 15MG, diazepam, LIBERVANT FILM 5MG, 7.5MG, 10MG, 12.5MG,	diazepam	5MG, 7.5MG, 10MG, 12.5MG, 15MG	Film	31 plans	Details
Doral Brand for Quazepam Sedative Hypnotics — Quantity limits apply to all sedative hypnotics	Quazepam	—	Tablet	1 plan	Details
Diastat Pediatric Rectal Brand for Diazepam Benzodiazepine Also: Diastat Pediatric Rectal Gel, Diazepam	Diazepam	2.5 MG	Gel	7 plans	Details
Diastat AcuDial Rectal Brand for Diazepam Benzodiazepine Also: Diastat AcuDial Rectal Gel, Diazepam	Diazepam	10 MG	Gel	10 plans	Details
Diastat Brand for Diazepam Benzodiazepine Also: Diazepam	Diazepam	2.5 MG	—	10 plans	Details
Ativan Brand for lorazepam BENZODIAZEPINES Also: ATIVAN SOLN 2MG/ML, 4MG/ML; TABS .5MG, 1MG, 2MG, ATIVAN TABS .5MG, 1MG, 2MG, ATIVAN SOLN 2MG/ML, 4MG/ML; TABS .5MG,	lorazepam	5MG, 1MG, 2MG	Solution	10 plans	Details