METHADONE HCL 40MG TAB (138)    VA PRODUCT (50.68)

Name Value
NAME METHADONE HCL 40MG TAB
VA GENERIC NAME METHADONE
DOSAGE FORM TAB
FDA MED GUIDE Methadone_Tab_(2017).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
STRENGTH 40
INACTIVATION DATE 2009-10-05 00:00:00
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME METHADONE TAB
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 METHADONE HCL 40MG TAB
VA PRODUCT IDENTIFIER M0405
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4000761
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-10-05 00:00:00
    STATUS:   INACTIVE