| NAME |
HYDROXYETHYL STARCH 6%/NACL 0.9% INJ |
| VA GENERIC NAME |
HYDROXYETHYL STARCH/SODIUM CHLORIDE |
| DOSAGE FORM |
INJ |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2020-05-15 00:00:00 |
| NATIONAL FORMULARY NAME |
HYDROXYETHYL STARCH/SODIUM CHLORIDE INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
HYDROXYETHYL STARCH 6%/NACL 0.9% INJ |
| VA PRODUCT IDENTIFIER |
H0614 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BAG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4031287 |
| EFFECTIVE DATE/TIME |
-
- 2012-03-09 00:00:00
- STATUS: ACTIVE
-
- 2020-05-15 00:00:00
- STATUS: INACTIVE
-
- 2020-05-15 00:00:00
- STATUS: INACTIVE
|
