Approved Formulary
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Approved Formulary
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hydrOXYzine

hydrOXYzine
  • Formulary Duration Restrictions Limited to 14 days for medical use for opiate withdrawal without TLC approval.
  • Therapeutic Substitutions Hydroxyzine Salts
  • Cell Status NFISA
  • Exceptions / Designators MEDICAL formulary restrictions: up to 14 days for use in opiate withdrawal without TLC approval. BHS formulary restrictions: Dose restricted to 150MG PER SINGLE DOSE AND 300MG PER DAY.
Brand names: ATARAX, VISTARIL
Form Strength  
CAPSULE, ORAL pamoate 25 mg; 50 mg; 100 mg
SOLUTION, INTRAMUSCULAR hydrochloride 50 mg/mL
TABLET, ORAL hydrochloride 50 mg
Last updated: Feb. 29, 2024

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