HYDROMORPHONE

hydromorphone hydrochloride 2 mg tablet, 20

HYDROMORPHONE (5115F)

hydromorphone hydrochloride 2 mg tablet, 20
5115F
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: 20 # of repeats: 0 DPMQ: $25.88 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Dilaudid