METOCLOPRAMIDE HCL 10MG TAB (2170)    VA PRODUCT (50.68)

Name Value
NAME METOCLOPRAMIDE HCL 10MG TAB
VA GENERIC NAME METOCLOPRAMIDE
DOSAGE FORM TAB
FDA MED GUIDE Metoclopramide_Tab_(Generic)_(2010).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME METOCLOPRAMIDE TAB
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE YES
PGX SUPPRESSED NO
VA PRINT NAME METOCLOPRAMIDE HCL 10MG TAB
VA PRODUCT IDENTIFIER M0079
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4002753
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE