FENTANYL 10MCG/BUPIVACAINE 0.0625%/ML/NS INJ,BAG,250ML (22339) VA PRODUCT (50.68)

Name	Value
NAME	FENTANYL 10MCG/BUPIVACAINE 0.0625%/ML/NS INJ,BAG,250ML
VA GENERIC NAME	BUPIVACAINE/FENTANYL
DOSAGE FORM	INJ,SOLN
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	FENTANYL STRENGTH: 10 UNITS: MCG/ML BUPIVACAINE STRENGTH: 0.0625 UNITS: %
CS FEDERAL SCHEDULE	Schedule II
INACTIVATION DATE	2016-06-15 00:00:00
NATIONAL FORMULARY NAME	BUPIVACAINE/FENTANYL 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	FENTANYL 10MCG/BUPIV 0.0625%/ML NS 250ML
VA PRODUCT IDENTIFIER	F0496
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4030612
EFFECTIVE DATE/TIME	2011-05-05 00:00:00 STATUS: ACTIVE