FLURAZEPAM HCL 15MG CAP (1763)    VA PRODUCT (50.68)

Name Value
NAME FLURAZEPAM HCL 15MG CAP
VA GENERIC NAME FLURAZEPAM
DOSAGE FORM CAP,ORAL
FDA MED GUIDE Flurazepam_(Generic)_(2021).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 15
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME FLURAZEPAM CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
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 FLURAZEPAM HCL 15MG CAP
VA PRODUCT IDENTIFIER F0215
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4002348
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE