Drug list
CENTRAL NERVOUS SYSTEM DRUGS › SEDATIVES AND HYPNOTICS

MIDAZOLAM (Midazolam Injection · Versed)

5mg/mLInj Sol (with Preservative)
LU495
QUICK SCAN

For intermittent injection used for symptomatic relief in patients receiving palliative care*.

LU Authorization Period: 1 year
Complete Ontario criteria

For intermittent injection used for symptomatic relief in patients receiving palliative care*. *The patient must have a progressive life-limiting illness and require this medication for palliative purposes.

LU496
QUICK SCAN

For continuous infusion in patients receiving palliative sedation*.

LU Authorization Period: 1 year
Complete Ontario criteria

For continuous infusion in patients receiving palliative sedation*. *The patient must have a progressive life-limiting illness and require this medication for palliative purposes.

Clinical verification required

Quick summaries support scanning only. Confirm eligibility against the complete Ontario criteria and current Ontario e-Formulary before billing.

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