| NAME |
LORAZEPAM 1MG/ML/DEXTROSE 5% INJ,BAG,100ML |
| VA GENERIC NAME |
LORAZEPAM |
| DOSAGE FORM |
INJ |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule IV |
| STRENGTH |
1 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2019-10-15 00:00:00 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
LORAZEPAM INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LORAZEPAM 1MG/ML/D5W INJ BAG 100ML |
| VA PRODUCT IDENTIFIER |
L0496 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BAG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4028948 |
| EFFECTIVE DATE/TIME |
-
- 2009-09-09 00:00:00
- STATUS: ACTIVE
-
- 2019-10-15 00:00:00
- STATUS: INACTIVE
|
