BUMETANIDE 0.25MG/ML INJ (1614)    VA PRODUCT (50.68)

Name Value
NAME BUMETANIDE 0.25MG/ML INJ
VA GENERIC NAME BUMETANIDE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP CHF treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.25
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/ML
DSS NUMBER 4
NATIONAL FORMULARY NAME BUMETANIDE 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
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BUMETANIDE 0.25MG/ML INJ
VA PRODUCT IDENTIFIER B0385
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4002206
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE