METHADONE HCL 10MG/ML INJ,AMP,1ML (12930)    VA PRODUCT (50.68)

Name Value
NAME METHADONE HCL 10MG/ML INJ,AMP,1ML
VA GENERIC NAME METHADONE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
STRENGTH 10
INACTIVATION DATE 2002-10-29 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME METHADONE INJ
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 METHADONE HCL 10MG/ML INJ AMP 1ML
VA PRODUCT IDENTIFIER M0447
TRANSMIT TO CMOP NO
VA DISPENSE UNIT AMP
MASTER ENTRY FOR VUID YES
VUID 4013295
EFFECTIVE DATE/TIME
  • 2002-10-29 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE