Limited coverage criteria – hydromorphone injection

Last updated on March 18, 2025

 

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Generic name

hydromorphone

Strength & form

50 mg/mL injection

Special Authority criteria

Approval period

Relief of severe pain in patients who require subcutaneously, intravenously or intramuscularly administered opioids in doses or concentrations higher than those usually needed

1 year

Practitioner exemptions

  • No practitioner exemptions.

Special notes

  • Hydromorphone 10 mg/mL and 20 mg/mL are available as regular benefits on the PharmaCare formulary for the indication of severe pain only
  • Hydromorphone 50 mg/mL is a benefit for the treatment of severe pain under Plans B and P

Special Authority request form(s)