CONIVAPTAN HCL 0.2MG/ML/DEXTROSE 5% INJ,BAG,100ML (21316)    VA PRODUCT (50.68)

Name Value
NAME CONIVAPTAN HCL 0.2MG/ML/DEXTROSE 5% INJ,BAG,100ML
VA GENERIC NAME CONIVAPTAN
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.2
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME CONIVAPTAN INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CONIVAPTAN HCL 0.2MG/ML/D5W BAG 100ML
VA PRODUCT IDENTIFIER C1418
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BAG
MASTER ENTRY FOR VUID YES
VUID 4029449
EFFECTIVE DATE/TIME
  • 2009-12-04 00:00:00
    STATUS:   ACTIVE