METHYLDOPA 250MG/5ML SUSP,ORAL (2125)    VA PRODUCT (50.68)

Name Value
NAME METHYLDOPA 250MG/5ML SUSP,ORAL
VA GENERIC NAME METHYLDOPA
DOSAGE FORM SUSP
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP Hypertension treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
INACTIVATION DATE 2002-09-27 00:00:00
UNITS MG/5ML
DSS NUMBER 4
NATIONAL FORMULARY NAME METHYLDOPA SUSP
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 METHYLDOPA 250MG/5ML SUSP
VA PRODUCT IDENTIFIER M0195
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4002708
EFFECTIVE DATE/TIME
  • 2002-09-27 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE