| NAME |
CHLORAL HYDRATE 325MG SUPP,RTL |
| VA GENERIC NAME |
CHLORAL HYDRATE |
| DOSAGE FORM |
SUPP,RTL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule IV |
| STRENGTH |
325 |
| INACTIVATION DATE |
2009-12-01 00:00:00 |
| UNITS |
MG |
| DSS NUMBER |
6 |
| NATIONAL FORMULARY NAME |
CHLORAL HYDRATE SUPP,RTL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 325MG RTL SUPP |
| VA PRODUCT IDENTIFIER |
C0880 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4001932 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2009-12-01 00:00:00
- STATUS: INACTIVE
|
