CHLORAL HYDRATE 250MG CAP (1326)    VA PRODUCT (50.68)

Name Value
NAME CHLORAL HYDRATE 250MG CAP
VA GENERIC NAME CHLORAL HYDRATE
DOSAGE FORM CAP,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 250
INACTIVATION DATE 2007-09-19 00:00:00
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME CHLORAL HYDRATE CAP,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 CHLORAL HYDRATE 250MG CAP
VA PRODUCT IDENTIFIER C0878
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4001927
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE