SODIUM NITROPRUSSIDE 50MG/2ML INJ (1691)    VA PRODUCT (50.68)

Name Value
NAME SODIUM NITROPRUSSIDE 50MG/2ML INJ
VA GENERIC NAME SODIUM NITROPRUSSIDE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP Hypertension treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/2ML
DSS NUMBER 2
NATIONAL FORMULARY NAME SODIUM NITROPRUSSIDE 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 SODIUM NITROPRUSSIDE 50MG/2ML INJ
VA PRODUCT IDENTIFIER S0549
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4002277
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE