Product Details

Hydroxyzine

Hydroxyzine HCl
25 mg
Capsule


DIN/PIN/NPN

00646024

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
00024384 Atarax NA NA
00646024 Hydroxyzine NA NA
 

LU Clinical Criteria

NO  

Requirements

NA

EAP Criteria

  NO

Product Monograph

View Monograph