HYDROXYZINE HCL 100MG/ML INJ (2027)    VA PRODUCT (50.68)

Name Value
NAME HYDROXYZINE HCL 100MG/ML INJ
VA GENERIC NAME HYDROXYZINE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
INACTIVATION DATE 2002-09-25 00:00:00
UNITS MG/ML
DSS NUMBER 15
NATIONAL FORMULARY NAME HYDROXYZINE INJ,SOLN
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4002610
EFFECTIVE DATE/TIME
  • 2002-09-25 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE