Product Details

Phenergan

Promethazine HCl
2 mg/mL
Oral Liquid


DIN/PIN/NPN

01937693

Manufacturer

Rhone-Poulenc Rorer Consumer Inc.

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

R06AD02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00583979 PMS-Promethazine NA NA
01937693 Phenergan NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph