PENTETATE ZINC TRISODIUM 200MG/ML INJ (16909)    VA PRODUCT (50.68)

Name Value
NAME PENTETATE ZINC TRISODIUM 200MG/ML INJ
VA GENERIC NAME PENTETATE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2017-06-16 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME PENTETATE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PENTETATE ZINC TRISODIUM 200MG/ML INJ
VA PRODUCT IDENTIFIER P0711
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4017272
EFFECTIVE DATE/TIME
  • 2004-11-19 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE