HYDROXYPROGESTERONE CAPROATE 250MG/ML INJ (1083)    VA PRODUCT (50.68)

Name Value
NAME HYDROXYPROGESTERONE CAPROATE 250MG/ML INJ
VA GENERIC NAME HYDROXYPROGESTERONE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2023-04-26 00:00:00
UNITS MG/ML
DSS NUMBER 1
NATIONAL FORMULARY NAME HYDROXYPROGESTERONE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME HYDROXYPROGESTERONE CAPR 250MG/ML INJ
VA PRODUCT IDENTIFIER H0592
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4001687
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE
  • 2011-04-08 00:00:00
    STATUS:   ACTIVE
  • 2023-04-26 00:00:00
    STATUS:   INACTIVE