DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:16:08 PSYCHOTHERAPEUTIC AGENTS TRANQUILIZERS

Hydroxyzine (Not a Benefit) (HYDROXYZINE HCL)25mg Cap

DIN/PIN/NPN:00646024

Interchangeables:

Manufacturer:

A A Pharma Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status:

Not a Benefit