SODIUM NITROPRUSSIDE 50MG/5ML INJ (1690)    VA PRODUCT (50.68)

Name Value
NAME SODIUM NITROPRUSSIDE 50MG/5ML INJ
VA GENERIC NAME SODIUM NITROPRUSSIDE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP Hypertension treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
INACTIVATION DATE 2008-09-30 00:00:00
UNITS MG/5ML
DSS NUMBER 1
NATIONAL FORMULARY NAME SODIUM NITROPRUSSIDE INJ
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4002276
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-30 00:00:00
    STATUS:   INACTIVE