Product Details

PMS-HYDROmorphone

Hydromorphone HCl
1 mg
Tablet


DIN/PIN/NPN

00885444

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2001-10-11  

Unit Price

0.0959

Amount MOH Pays

0.0959

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
02319403 Teva-Hydromorphone 0.0959 0.0959
00885444 PMS-HYDROmorphone 0.0959 0.0959
00705438 Dilaudid 0.1010 0.0959
02364115 Apo-Hydromorphone 0.0959 0.0959
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph