Product Details

PMS-Hydrocodone

Hydrocodone Bitartrate
1 mg/mL
Oral Liquid


DIN/PIN/NPN

02324253

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2012-02-29  

Unit Price

0.0617

Amount MOH Pays

0.0617

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

R05DA03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02324253 PMS-Hydrocodone 0.0617 0.0617
01916580 Hycodan NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph