FUROSEMIDE 40MG/5ML SOLN,5ML (12994)    VA PRODUCT (50.68)

Name Value
NAME FUROSEMIDE 40MG/5ML SOLN,5ML
VA GENERIC NAME FUROSEMIDE
DOSAGE FORM SOLN,ORAL
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION
Refer to PBM/MAP Hypertension treatment and CHF treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 40
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/5ML
NATIONAL FORMULARY NAME FUROSEMIDE SOLN,ORAL
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 FUROSEMIDE 40MG/5ML SOLN 5ML
VA PRODUCT IDENTIFIER F0185
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4013359
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE