FENTANYL CITRATE 25MCG/ML INJ,30ML (19106)    VA PRODUCT (50.68)

Name Value
NAME FENTANYL CITRATE 25MCG/ML INJ,30ML
VA GENERIC NAME FENTANYL
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
STRENGTH 25
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-01-15 00:00:00
UNITS MCG/ML
NATIONAL FORMULARY NAME FENTANYL INJ,SOLN
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 FENTANYL CITRATE 25MCG/ML INJ, 30ML
VA PRODUCT IDENTIFIER F0402
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4026944
EFFECTIVE DATE/TIME
  • 2007-12-20 00:00:00
    STATUS:   ACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE
  • 2008-09-12 00:00:00
    STATUS:   ACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE