HYDROMORPHONE

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12559BDP HYDROMORPHONE
hydromorphone hydrochloride 1 mg/mL oral liquid, 473 mL (PI, CMI)
1 1 0 $349.45 $42.50 $42.50
Available brands
Hikmaa
Hydromorphone hydrochloride oral solution, USP (Medsurge)a
space

HYDROMORPHONE

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12565HMPNP HYDROMORPHONEP
hydromorphone hydrochloride 1 mg/mL oral liquid, 473 mL (PI, CMI)
1 1 1 $349.45 $42.50 $42.50
Available brands
Hikmaa
Hydromorphone hydrochloride oral solution, USP (Medsurge)a
space

HYDROMORPHONE

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12582FMPNP HYDROMORPHONE
hydromorphone hydrochloride 1 mg/mL oral liquid, 473 mL (PI, CMI)
1 1 0 $349.45 $42.50 $42.50
Available brands
Hikmaa
Hydromorphone hydrochloride oral solution, USP (Medsurge)a
space


  • Legend
  • PPalliative care items
  • aBrand equivalent a
  • DPDentist
  • MPMedical Practitioner
  • NPNurse Practitioner