METHADONE HCL 40MG TAB,EFFERVSC (143)    VA PRODUCT (50.68)

Name Value
NAME METHADONE HCL 40MG TAB,EFFERVSC
VA GENERIC NAME METHADONE
DOSAGE FORM TAB,EFFERVSC
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
STRENGTH 40
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 9
NATIONAL FORMULARY NAME METHADONE TAB,EFFERVSC
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
VA PRINT NAME METHADONE HCL 40MG EFFERVSC TAB
VA PRODUCT IDENTIFIER M0420
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4000766
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE