HYDROMORPHONE
hydromorphone hydrochloride 4 mg tablet, 20
HYDROMORPHONE (12484C)
12484C
Body System:
Manner of administration:Oral
Restriction 11697
Indication: Severe pain
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 40 | # of repeats: 1 | DPMQ: $37.02 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Dilaudid | |||||