CHLORAL HYDRATE 650MG SUPP,RTL (1332)    VA PRODUCT (50.68)

Name Value
NAME CHLORAL HYDRATE 650MG SUPP,RTL
VA GENERIC NAME CHLORAL HYDRATE
DOSAGE FORM SUPP,RTL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 650
INACTIVATION DATE 2007-09-19 00:00:00
UNITS MG
DSS NUMBER 7
NATIONAL FORMULARY NAME CHLORAL HYDRATE SUPP,RTL
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 650MG RTL SUPP
VA PRODUCT IDENTIFIER C0884
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4001933
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE