Product Details

Dilaudid

Hydromorphone HCl
4 mg
Tablet


DIN/PIN/NPN

00125121

Manufacturer

Purdue Pharma

Formulary Listing Date

1996-10-01  

Unit Price

0.2350

Amount MOH Pays

0.2240

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

Analgesics, Opiate Agonists (28:08:08): Narcotic analgesics can produce dependence and may be abused. Physical dependence, psychological dependence and tolerance may develop. Prescribers are cautioned about ordering these drugs for patients with a history of either emotional disturbances or drug abuse, including alcohol.

ATC Code

N02AA03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02319438 Teva-Hydromorphone 0.2240 0.2240
00885401 PMS-HYDROmorphone 0.2240 0.2240
00125121 Dilaudid 0.2350 0.2240
02364131 Apo-Hydromorphone 0.2240 0.2240
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph