Product Details

Hydroxyzine

Hydroxyzine HCl
50 mg
Capsule


DIN/PIN/NPN

00646016

Manufacturer

A A Pharma 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

N05BB01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00738840 Novo-Hydroxyzin NA NA
01927884 Multipax NA NA
00024392 Atarax NA NA
00646016 Hydroxyzine NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph