Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Short Description: Chlorpromazine hcl 5mg oral
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2014
Effective Date: January 1, 2014
Termination Date: