Product Details

Apresoline

Hydralazine HCl
25 mg
Tablet


DIN/PIN/NPN

00005533

Manufacturer

SteriMax 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

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