OXYMORPHONE HCL 10MG TAB,UD (17843)    VA PRODUCT (50.68)

Name Value
NAME OXYMORPHONE HCL 10MG TAB,UD
VA GENERIC NAME OXYMORPHONE
DOSAGE FORM TAB
FDA MED GUIDE Oxymorphone_(Generic)_(2020).pdf
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Schedule II
STRENGTH 10
INACTIVATION DATE 2008-09-02 00:00:00
UNITS MG
NATIONAL FORMULARY NAME OXYMORPHONE TAB
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 OXYMORPHONE HCL 10MG TAB UD
VA PRODUCT IDENTIFIER O0220
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4025530
EFFECTIVE DATE/TIME
  • 2006-09-05 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE