Q0169

Promethazine hydrochloride, 12.5 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: Promethazine hcl 12.5mg oral

Coverage Code: Special coverage instructions apply

Action Code: No maintenance for this code

Date Added: April 1, 1998

Effective Date: April 1, 1998

Termination Date:

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