Product Details

Mint-Hydralazine

Hydralazine HCl
25 mg
Tablet

DIN/PIN/NPN

02468786

Manufacturer

Mint Pharmaceuticals Inc.

Formulary Listing Date

2018-05-31

Unit Price

0.0609

Amount MOH Pays

0.0609

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

24:08:00 Hypotensive Drugs (for Diuretics see 40:28)

Therapeutic Note

NO

ATC Code

C02DB02

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02468786	Mint-Hydralazine	0.0609	0.0609
02457873	Jamp-Hydralazine	0.0609	0.0609
00005533	Apresoline	NA	NA
00441627	Apo-Hydralazine	0.0609	0.0609
02539810	Hydralazine	0.0609	0.0609

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph