MIDAZOLAM 1MG/ML/DEXTROSE INJ,BAG,100ML (20453)    VA PRODUCT (50.68)

Name Value
NAME MIDAZOLAM 1MG/ML/DEXTROSE INJ,BAG,100ML
VA GENERIC NAME MIDAZOLAM
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 1
INACTIVATION DATE 2009-05-26 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME MIDAZOLAM 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
VA PRINT NAME MIDAZOLAM 1MG/ML/DEXTROSE INJ,BAG,100ML
VA PRODUCT IDENTIFIER M0857
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BAG
MASTER ENTRY FOR VUID YES
VUID 4028452
EFFECTIVE DATE/TIME
  • 2009-03-12 00:00:00
    STATUS:   ACTIVE
  • 2009-05-26 00:00:00
    STATUS:   INACTIVE