HYDROMORPHONE HCL 24MG CAP,SA (17320)    VA PRODUCT (50.68)

Name Value
NAME HYDROMORPHONE HCL 24MG CAP,SA
VA GENERIC NAME HYDROMORPHONE
DOSAGE FORM CAP,SA
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
STRENGTH 24
INACTIVATION DATE 2008-07-02 00:00:00
UNITS MG
NATIONAL FORMULARY NAME HYDROMORPHONE CAP,SA
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 HYDROMORPHONE HCL 24MG SA CAP
VA PRODUCT IDENTIFIER H0465
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4024752
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE