METHADONE HCL 10MG/ML INJ (137)    VA PRODUCT (50.68)

Name Value
NAME METHADONE HCL 10MG/ML INJ
VA GENERIC NAME METHADONE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
DSS NUMBER 3
NATIONAL FORMULARY NAME METHADONE INJ
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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/ML INJ
VA PRODUCT IDENTIFIER M0404
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4000760
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE