FENTANYL 5MCG/BUPIVACAINE 0.0625%/ML/NS INJ,BAG,250ML (16415)    VA PRODUCT (50.68)

Name Value
NAME FENTANYL 5MCG/BUPIVACAINE 0.0625%/ML/NS INJ,BAG,250ML
VA GENERIC NAME BUPIVACAINE/FENTANYL
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-01-15 00:00:00
NATIONAL FORMULARY NAME BUPIVACAINE/FENTANYL INJ,SOLN
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 FENTANYL 5MCG/BUPIV 0.0625%/ML NS 250ML
VA PRODUCT IDENTIFIER F0318
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4016778
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE