HYDROMORPHONE

hydromorphone hydrochloride 1 mg/mL oral liquid, 473 mL

HYDROMORPHONE (13799G)

hydromorphone hydrochloride 1 mg/mL oral liquid, 473 mL
13799G
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 473 # of repeats: 0 DPMQ: $532.70 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Hydromorphone hydrochloride oral solution, USP (Medsurge)