The recommended dilution to achieve 1. One unit of Botox is equal to three units of Dysport. Innotox is predicted by the same Hall strain of C. May 31, 2024 · The cash price for Botox is around $677 to $1,344 for a 100 or 200 unit vial, but you will not pay this price. 9% sodium chloride solution for injection)) added in a 100 unit vial 20 Units 0. This way every 1. Plastic surgeons mix unused saline with a 100 unit vial before they inject it on facial muscles and in any other location. Get Botox Injection at lowest price | ID: 14231168055 Oct 2, 2018 · dose and 77 to 100 timesgreater than the lethal inhalational dose, The human inhalational lethal dose is approximately 0. Apr 18, 2024 · The cash price for Botox is around $677 to $1,344 for a 100 or 200 unit vial, but you will not pay this price. Current recommended dosage for the treatment of overactive bladder is 100 units (single 0. BOTOX Cosmetic vials are for single-dose only. OnabotulinumtoxinA . Thus this would be 0. 25 mL 4 Units *Preservative-free 0. Out of stock. 01ng/kg. Blepharospasm: 1. To buy Botox: 1. Nabota botox is also free from harmful preservatives, making it hypoallergenic and safe to use on the skin. J0587 -JW 10 units . J0588 -JW 75 units . Both products are reconstituted the same way: 1 ml of preserved saline to 1 vial. 9% Sodium Chloride Injection, USP and mix the vials gently. Draw the remaining 2 mL from each vial into a third 10 mL syringe for a total of 4 mL in each syringe. Jul 30, 2009 · There are usually 50 or 100 Units in a vial. Color: colorless Shape: Imprint: This medicine is a colorless, clear, vial . Unopened vials of BOTOX should be stored in a refrigerator (2 to 8 degrees C) up to 36 months for the 100 Units vial Administer BOTOX within 24 hours of reconstitution; during this period reconstituted BOTOX should be stored in a refrigerator (2 to 8 degrees C) Remember that both the amount of drug used for injection and the drug wasted should be charged. Draw 4 mL from each vial into each of two 10 mL syringes. Our practice charges a per-unit price, so the more BOTOX units injected, the more your procedure will cost. Table 1: Dilution Instructions for BOTOX Cosmetic Vials (100 Units and 50 Units) Diluent* Added to 100 Unit Vial Resulting Dose Units per 0. Does Botox Last Longer Than NDC Package 0023-1145-01 Botox Onabotulinumtoxina Injection, Powder, Lyophilized, For Solution Intradermal; Intramuscular - View Billable Units, 11-Digit Format, RxNorm 100 Units: NDC 0023-9232-01. 10) Strabismus:The dose is based on prism diopter correction or previous response to treatment with BOTOX (2. 05. 3% of patients (33/526) developed urinary retention following treatment with BOTOX 100 Units vs 0. Glabellar and forehead lines: 40 total units, 10 injection Botox is a human prescription drug by Allergan, Inc. Unit Guidelines: How much Botox is needed per facial area Generally accepted guidelines have been published that list amount of Botox in units to treat the most common facial areas. 9% saline. Jun 30, 2023 · ความเชื่อผิด ๆ เกี่ยวกับโบท็อกที่ควรรู้ อาทิ ฉีดโบท็อกไม่เห็นผล เกิดจากสาเหตุอะไร ? 100 unit เท่ากับกี่ cc ? วิธีผสมโบท็อกมีขั้นตอนอย่างไร ? Nov 15, 2023 · 100 Unit Vial of BOTOX. Additional information: For the patient preparation and monitoring, see section 4. What it looks like: . Mar 10, 2023 · Botox injections are shots that use a toxin to prevent a muscle from moving for a limited time. Allergan is a leading pharmaceutical company that supplies high-quality dermal fillers products to over 100 countries. 25 Units-2. As such, for a procedure like treating glabellar lines, it takes about 20 units of Botox but closer to 60 for Dysport. Electromyographic guidance, nerve stimulation, or ultrasound techniques were used to assist in muscle localization for injections. 9 mg). In clinical trials, 12. Select a condition. 9% sodium chloride injection USP TOOLS: Appropriately sized syringes and needles, alcohol swabs, gloves WHAT YOU WILL NEED1 ON-LABEL RECONSTITUTION PROVIDES PREDICTABLE OUTCOMES AND REPEATABLE RESULTS1 Jan 9, 2024 · Ngoài Botox 100 Units Allergan, hiện trên thị trường còn hai nhóm thuốc Botox 50 Units Allergan và Botox 200 Units Allergan. So, how to use Botulax Botox? Apply it on face and neck. 5 mg, Sodium Chloride 0. 5 days ago · Each visa of this product contains 100 Units of sterile Clostridium Botulinum Toxin Type A (Human serum albumin 0. 5 Blepharospasm G24. Mechanism Of Action Of OnabotulinumtoxinA. BOTOX I like 1cc = 4U of Botox. Allergan Botox 100IU is a botulinum type A product. They're also used to treat neck spasms, sweating, overactive bladder, lazy eye and other conditions. Their production was tested many times by a lot of scientists and now the product demonstrates amazing results. Both drugs are similarly priced, as one unit of Dysport costs about 1/3 of a unit of Botox. Find other drugs that treat your condition . Eliminates deep lines and wrinkles caused by dynamic muscle movement for 6 – 8 months. May 11, 2023 · The dilution and the number of units is the same as for traditional Botox injections, but the Botox is dispersed over a larger area. At the Texas practice, you’d pay $600 for a 50-unit vial. The toxins do not penetrate through intact skin. For split vials, for example, if patient 1 received 30 units and patient 2 received 60 units from a 100 unit vial, wastage billed with -JW would be: patient 1: 3 units [(30 units used for the patient/90 total units used) * 10 units of wastage = 3. 5 Units it is 100 Units/4 mL 1 The cumulative dose of BOTOX ® treatment for Blepharospasm in a 30-day period should not exceed 200 Units 1 BOTOX 100 UNITS BOTULINUM TOXIN TYPEA NABOTA Sử dụng tiêm vào các vùng mong muốn để điều trị nếp nhăn như da mặt, nếp nhăn, mắt, mũi và hàm. “Micro Botox is usually injected in the T-zone area and through the entire face: in the forehead, cheeks, nose, and chin area,” says Dr. used to treat various spasms and neurological 1 day ago · In clinical trials, 12. 5mL each into the detrusor muscle via a flexible or rigid Jun 26, 2019 · Table 1: Dilution Instructions for BOTOX Cosmetic Vials (100 Units and 50 Units) Diluent* Added to 100 Unit Vial Resulting Dose Units per 0. BOTOX® Cosmetic is to be reconstituted only with 0. Botox 100 iu injection price is very affordable and also available for wholesale orders. How Do TOXTA 100 UNITS Injections Work? The basic component is botulotoxin type A Clostridium botulinum in the amount of 50 or 100 units. Measured in terms of individual shots or units, Botox is about three times as potent. Hướng dẫn sử dụng, cách dùng và lưu ý tác dụng phụ Mar 30, 2021 · There was a significant improvement in all subjective parameters, that is, SHIM and EHS scores (Table 1), SEP-Q2&3 (Figure 2), and GAS-Q1&2 (Figure 3), all over the post-treatment periods (p < 0. The product is distributed in 2 packages with NDC codes 0023-1145-01, 0023-1145-02. This BOTOX 100IU vial contains clostridium botulinum type A neurotoxin complex, 0. Recommended total dose 200 Units, as 1 mL (~6. Botulinum Toxin Type A . But it works well for me to place 2. 7 Units) injections across 30 sites into the detrusor Prophylaxis of headaches in adult patients with chronic migraine (≥15 days per month with headache lasting 4 hours a day or longer) Chronic Migraine: Recommended total dose 155 Units, as 0. When billing waste, add a JW modifier (Table 1). The same number of Units can be put in 1 syringe or many syringes and the same number of Units can be dissolved in 1 ml or 10 ml of water depending on the concentration desired. In addition, application of METOX 100 units is: First, facial asymmetry caused by muscle activity. ĐẶC TÍNH Độc quyền công nghệ “Công nghệ tinh khiết cao” làm giảm tạp chất và tăng độ tinh khiết. The amount you’ll need depends primarily on your specific cosmetic concern. 33 rounded to 3] اسم المنتج بوتوكس، 100 وحدة، للحقن - 1 فيال الاسم العلمي أونابوتولينوم توكسين أ ينتمي بوتوكس BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product. Botox Units: How Many Botox Units for Forehead . 1 mL 2. 5 ml vial), and the Sep 10, 2019 · Botox 100 Injection is a chemical substance produced from a bacteria called Clostridium botulinum which is used for the treatment of spasticity of the upper and lower limb, cervical dystonia (severe spasms in the neck muscles), certain eye muscle conditions that occur due to nerve disorders, chronic migraine, bladder disorders, excessive sweating, etc. In patients without diabetes, 6. Once Botox is reconstituted in the physician’s office, it has a shelf life of only four hours. In fact, TOXTA 100 Units is one of the strongest and highest-purity Botulinum Toxin Type A products (99. 2 days ago · So, you can order anytime and get your original Botox, dermal fillers or other cosmetic products at affordable prices! We currently have 2 dosage options of Botox 50 units and 100 units. The ratio: 1 ml of preserved saline : to one vial of Dysport (300 HCPCS II J0585a INJECTION, ONABOTULINUMTOXINA, 1 UNIT NDC 00023-1145-01b BOTOX® 100 Unit vial 00023-3921-02b BOTOX® 200 Unit vial The information contained herein is gathered from third-party sources and is subject to change. Thuốc BOTOX 1 VIAL (100 UNITS) là gì? Hộp 1 lọ 100 đơn vị, Bột sấy khô chân không vô khuẩn để pha dung dịch tiêm, Tiêm giá bao nhiêu . Most people (80%) pay $0 and may save money on the injection procedure with the Botox Savings Program offered through AbbVie, the manufacturer of Botox. Jun 8, 2015 · Each vial of Botox contains 100 units, which can be split into individual blocks for treating various areas. 9 mg for 100 U or 1. This is also the maximum recommended dose for treating this condition. Total 100 units billed (1 unit x 100 = 100u vial) J3590 UNCLASSIFIED BIOLOGICS ICD-10 Code Options . Botox is measured in “units,” with one syringe containing 100 units. 0 mg for 200 U . 7 %öäüß 80 0 obj /L 275268 /Linearized 1. Cosmetic effect with Botulax 100 Units injections is obvious after 3-7 days; Duration of the effect is approximately 6-9 months; 2-3 procedures are necessary per year, because muscle tone is restored over time. 40-Unit dose provides efficacy without an increase in side effects, compared with a lower dose2 Dilution table1 • BOTOX® Cosmetic is supplied in 100-Unit and 50-Unit single-use vials for reconstitution • BOTOX® Cosmetic should be reconstituted with sterile, preservative-free 0. Feb 11, 2021 · Dysport injections come in smaller units. There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, and/or forehead lines. SAR 671. 5 milligrams of Albumin (Human), and 0. ” Claims for (onabotulinumtoxinA), should be submitted under HCPCS code J0585. 9% Sodium Chloride Injection, USP Only TOXTA 100 Units. 0 /H [104099 377] /O 84 /E 104099 /N 19 /T 274737 >> endobj 81 0 obj /Length 151 /Type /XRef /Filter /FlateDecode Forehead 10 – 50 units ( depends on severity of wrinkles) Glabella 20 – 50 units ( depends on depth of lines) Crows Feet 5 – 20 units per side; Bunny wrinkles 2 – 4 units per side; Upper lip ” Smoker’s lines ” 4 – 10 units; Jaw Debulking 10 – 40 units; Chin Dimpling 4 – 10 units; Mouth Corners downturned 2 – 3 units per side The most popular dosages are 50 Units, 100 Units, and 200 Units of Botox. In total, 15 patients had repeat injections. botulinum as Neuronox and Botox. Botox comes in a 50 or 100 single-use unit vial and a multi-use 100 or unit vial. 25 Units is 100 Units/8 mL; for 2. %PDF-1. This does not mean you’ll pay double for Botox. Look up another drug . Oct 12, 2023 · For OAB symptoms in adults, the recommended dose is 100 units of Botox. 4. J0588 25 units . BOTOX prescription and dosage information for physicians and health care professionals. Nothing In clinical trials, 12. Usha Rajagopal , a San Francisco plastic surgeon. 9% sodium chloride to get a predetermined unit per ml dosage. There are different types of Features. Prior to intramuscular injection, reconstitute each Prior to intramuscular injection, reconstitute each vacuum-dried vial of BOTOX Cosmetic with sterile, preservative-free 0. Scientific Name. Excipients: Human albumin: 0. 5 ml (5 Units) injections across 20 sites in the detrusor muscle. Reconstitute two 100 Unit vials of BOTOX, each with 6 mL of preservative-free 0. Each BOTOX Cosmetic vial label and carton Providers should also bill the appropriate charges for the number of Botox units used (not number of vials) using the specific HCPCS II code J0585- Injection, onabotulinumtoxinA, 1 unit). 5 Units into each of 3 sites per affected eye (2. On a side note: The recommended dosage of Botox is strongly personal and might vary depending on the current medical condition of each patient and Oct 1, 2015 · Botulinum toxin type A (Botox®) (onabotulinumtoxinA), is supplied in 100-unit vials, and is billed “per unit. The physician administers 30 units to each patient. In the examples above, a 50-unit vial would cost between $1,000 and $1,750 in New York City. Pred použitím musí byť nariedený v sterilnom fyziologickom roztoku bez konzervačných látok (0,9 % roztok chloridu sodného na injekciu). See Symptoms for more information. Mỗi lọ chứa: Mar 16, 2022 · โบท็อก 100 unit เท่ากับกี่ CC ? โบท็อก 100 ยูนิต ไม่สามารถเทียบเป็น cc ได้ครับ เนื่องจากตัวยาโบท็อกจะเป็นผลึกแห้ง ๆ ดูได้จากก้นขวด แต่ถ้าจะนับเป็น cc คือ Unreconstituted 50-Unit or 100-Unit vials should be refrigerated at 36 °F to 46 °F (2 °C to 8 °C) DILUENT: Sterile, preservative-free 0. Jan 18, 2023 · Though the underlying composition of Dysport and Botox is similar, there are significant differences in potency. 1 mL Diluent* Added to 50 Unit Vial Resulting Dose Units per 0. Botox shots also may help prevent migraine. Botox, 100 Units, For Injection - 1 Vial . These shots are often used to smooth wrinkles on the face. 9) _____DOSAGE FORMS AND STRENGTHS_____ Single-use, sterile 50 Units, 100 Units or 200 Units vacuum-dried powder for As well, cosmetic effect with METOX 100 U injections is observed after 3-7 days; Also, the duration of the effect is approximately 6-9 months; 2-3 procedures are necessary per year, because muscle tone is restored over time. That means the Botox cost per syringe would be the price per unit multiplied by 100, but almost all Botox treatments are well under 100 units. Sodium chloride: 0. 8) Strabismus: The dose is based on prism diopter correction or previous response to treatment with BOTOX (2. 6% of patients (3/516) treated with placebo. 9% Sodium Chloride Injection USP. Botox 100 unit injection. The recommended dose is 100 Units of BOTOX, as 0. It is available in both generic and brand versions. OnabotulinumtoxinA, is a neurotoxin that works by inhibiting the release of acetylcholine, which is involved in muscle contraction, thereby relaxing the muscles and reducing Allergan Botox 100 units vial is available for sale online with fast and secure shipping. Mar 1, 2008 · Currently, Botox is available only in a 100-unit size. Blepharospasm:1. Do lượng thuốc không được sử dụng cần được loại bỏ, do đó cần lựa chọn kích thước lọ thích hợp nhất khi chỉ định. The authors used varying doses of botox at different sites. It is the task of a licensed physician to define how many units of Botox a patient would need to achieve the desired results. These units are standardised and help Jun 10, 2016 · Patients had intralevator injection of botox (100–300 units in saline) on the patient reported tender points. Register an account; 2. For example, if a 200-unit vial of onabotulinumtoxinA is mixed to inject a person being treated for chronic migraine with 155 units, the 45 units wasted are also billed. SKU : 1019-AL031. 9 milligrams of sodium chloride; Box Contents: Box contains 1 x BOTOX 100IU vial; Prescription-only medication; Contraindications of BOTOX: Known hypersensitivity to botulinum toxin type A or to any of the excipients In clinical trials, 12. It is reported that a dose of 1 microgram may be fatal to humans if swallowed. 1 ml) Amount of diluent (sterile unpreserved normal saline solution (0. Do đó BOTOX Cosmetic is supplied in single-use 50 Units and 100 Units per vial. Phân tử có kích thước hạt giống như Botox của Ellergan, Hoa Kỳ. Your injector will determine the correct number of units to administer based on your treatment areas and goals. 5 mL 4 Units 1. Botulinum toxin type B (Myobloc®) (rimabotulinumtoxinB) is manufactured in three dosing volumes – 2500 units, 5000 units and 10,000 units and is Each vial of BOTOX ® contains either 50 units (U), 100 units (U) or 200 units (U) of botulinum toxin, type A, as a haemagglutinin complex. Much of how Botox is injected now involves 4U of Botox in each injection site. • Smoothing wrinkles in the region of the eyebrows, nasolabial folds wrinkles in the area of the eyes and the mouth, periorbital and zones • Blepharospasm elimination • Hyperhidrosis elimination • Botox lifting. BOTOX 100 Allergan Units je dodávaný ako jemný biely prášok, ktorý môže byť ťažko viditeľný na dne priehľadnej sklenenej injekčnej liekovky. com) xin gửi đến quý bạn đọc những thông tin cần thiết về cách sử dụng thuốc Botulinum Toxin Type A Botox Allergan 100 units hiệu quả. 9% sodium chloride injection USP Mar 9, 2024 · Botox 50 Units: $299: Botox 100 Units: $399: Botox 100 Units Non-English: $379: Botox 100 Units European: $379: Botox 100 Units Cosmetic: $449: Botox 100 Units Polish: $379: Botox 100 Units Indian – English: $379: Botox International English 100 Units: $389 Botox Hutox 100 unit của hàn quốc - giảm nếp nhăn, tiêm thon gọn v linegiảm nếp nhăn, tiêm thon gọn vline Botox Calculators – Your Guide to Botox Estimations. 45 mg for 50U, 0. This purified protein appears in crystallized form, which is why the vials look empty. Oct 11, 2023 · Cost Per Unit and Treatment Area. 001) in patients of BTX-100 and BTX-50 groups. 3% of patients (10/81) with diabetes developed urinary retention following treatment with BOTOX 100 Units vs 0% of patients (0/69) treated with placebo. , Suite 100, Portland, OR 97232 • Kaiser Jul 20, 2024 · Botox 100 units Non-English package: 1 pcs: $379: Botox 100 units European package: 1 pcs: $379: 6 pcs: $369: 11 pcs: $364: 21 pcs: $359: Product Shipping and Packaging. One vial of Botox has 100 units and one vial of Dysport has 300 units. 5 cc’s of saline into the 100U bottle. Jun 13, 2024 · BOTOX 100 Allergan Units Powder for solution for injection - Patient Information Leaflet (PIL) by AbbVie Ltd Features. 9% Sodium Chloride Injection, USP Only BOTOX 100 Allergan Units. Understand units required for different treatments and how long they take to work. Thành phần của thuốc Botulinum toxin type A Botox 100 units . 9% sterile, non-preserved saline. 8 Other Aug 8, 2017 · How to correctly reconstitute Botox. 5 ml 10 Units 1 ml 5 Units 2 ml Jun 25, 2023 · Botox and Dysport are cosmetic treatments made from botulinum toxin. Botox units represent the measurement of the strength and potency of the drug. It also contains human albumin and sodium chloride. How many units should you get to achieve your desired results? Medicare Pharma - Offering Botox 100 Units,For Hospital at Rs 19500/unit in Hyderabad, Telangana. The molecular weight of Innotox analyzed using size-exclusion SE-HPLC is approximately 900 kDa. 1 Thành phần . Part of the Oris Medical training provided exclusively for doctors and dentists at RCGP, London. This information is intended for reference only. 11) _____DOSAGE FORMS AND STRENGTHS_____ For Injection:100 Units or 200 Units vacuum-dried powder in a single-dose vial (3) In this article, we will delve into the number of Botox units used for treating the forehead, discuss the outcomes, and explore the various factors that influence the dosage. Oct 9, 2019 · What is the reconstitution ratio for Botox/Dysport? Many practitioners ask if Dysport is reconstituted differently than Botox. Each vial contains 100 units (U) of Clostridium botulinum toxin type A-haemagglutin complex as the active ingredient. Unopened vials of BOTOX should be stored in a refrigerator (2 to 8 degrees C) up to 36 months for the 100 Units vial Administer BOTOX within 24 hours of reconstitution; during this period reconstituted BOTOX should be stored in a refrigerator (2 to 8 degrees C) Dilution table for BOTOX 100 Allergan Units vial size for all indications except bladder disorders: 100 Unit vial Resulting dose (Units per 0. Discard any remaining solution. 1 mL Diluent* Added to 50 Unit Vial What is BOTOX use? The use contains a muscle relaxant obtained from the bacterium Clostridium botulinum. 0 cc of saline results in 4 Units of Botox. Apr 17, 2024 · How much does a 50-unit vial of Botox cost? It depends on the price of the Botox unit. 5 mg for 100 U or 1. 1 cc’s of Botox – and conveniently this shows up on the line in our syringes. Botox is an acetylcholine release inhibitor, which works by relaxing muscles, preventing muscle spasms, and blocking nerves that produce sweat. 8% purity rating). Learn the different uses, costs, and side effects for each. TOXINS SHIPMENTS. Nhóm sản phẩm có công dụng, tác dụng gì. Often, a patient receives less than a 100-unit dose. Nov 16, 2023 · BOTOX is measured in units, with each syringe of BOTOX containing 50 or 100 units. It is estimated that the lethal oral dose of Dec 1, 2023 · A total dose of 3 Units/kg BOTOX (maximum 100 Units), 6 Units/kg BOTOX (maximum 200 Units), or placebo was injected intramuscularly and divided between the elbow or wrist and finger muscles (see Table 44). Total 50 units billed (100 units x 50 = 5000u vial) J0588 INCOBOTULINUMTOXI N A, 1 UNIT Xeomin : Example 100u vial, 25 units injected, 75 units wasted . It is also available as a 100 unit vial. BOTOX Cosmetic cartons have features to alert users if contents may have been compromised. 25 mg for 50 U, 0. Botox 100 Units Injection 1 Vial. The left-over reconstituted solution can be kept in the fridge but must be used within 24 hours. The cost for 20-40 units of Botox ranges between $325-$600. 100 Units/treatment; give 20 injections of 0. Toxin does not work the same on every person. . The most common form of Botox is a 200 unit vial. G24. It is as well, a fine powder that you need to dilute it in 0. Be the first to review this product . Think of Botox Units as grains of salt (or in this case gains of Botox) dissolved in water. Choose the desired Botox dosage (50 or 100 units) and the number of vials and add it to your cart; 3. Start your Botox journey with us! Botox 100 units by Allergan. The remaining 10 units are billed to Medicare on the account of the last patient. Category Of Botox Vial. Explore Botox Derm's calculators to estimate your Botox needs. Nabota 100 units Clostridium Botulinum Toxin Type A Muscle relaxant of peripheral action Jul 4, 2024 · Botox multi-use vials (for indications other than cosmetic) contain either 100 or 200 units of ONA per vial, which is diluted with 0. Rockville, MD 20852 • Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St. Once opened and reconstituted it should be stored in a refrigerator (2 to 8 degrees C) and used within 24 hours; Unopened vials of BOTOX® Cosmetic should be stored in a refrigerator (2 to 8 degrees C) for up to 36 months for the 100 Unit vial time period, reconstituted BOTOX Cosmetic should be stored in a refrigerator (2° to 8°C). Main Ingredients: Clostridium Botulinum Toxin A type (strain: Clostridium Botulinum CBFC26) Packing Unit: 1 vial 100 units/box Apr 19, 2023 · Sau đây, Trung Tâm Thuốc Central Pharmacy (trungtamthuoc. 8 mg for 200 U . Also, lip contouring. What is in BOTOX use? Each vial contains 100 units (U) of Clostridium botulinum toxin type A-haemagglutin complex as the active ingredient. 1 mL (5 Units) injections per each site divided across Although the average cost for one unit of Botox ranges from $15 to $17 in Florida, typically Botox procedures will use somewhere between 20-40 units of Botox depending on the area that is being treated. How much is Botox for your forehead? As discussed earlier, it depends on how many Botox units are used. yy po vm ij ez wl ay lr sl el