METHADONE HCL 10MG TAB (136)    VA PRODUCT (50.68)

Name Value
NAME METHADONE HCL 10MG TAB
VA GENERIC NAME METHADONE
DOSAGE FORM TAB
FDA MED GUIDE Methadone_Tab_(2020).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 2
NATIONAL FORMULARY NAME METHADONE TAB
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
VA PRINT NAME METHADONE HCL 10MG TAB
VA PRODUCT IDENTIFIER M0403
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4000759
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE