Product Details

Hydralazine Hydrochloride Injection, USP

Hydralazine HCl
20 mg/mL
Solution for Injection
1-mL Clear Glass Vial

DIN/PIN/NPN

02516160

Manufacturer

Auro Pharma Inc.

Formulary Listing Date

2023-09-28  

Unit Price

8.7375

Amount MOH Pays

8.7375

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C02DB02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00723754 Apresoline 11.6500 8.7375
02516160 Hydralazine Hydrochloride Injection, USP 8.7375 8.7375
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph