HYDROMORPHONE 0.02MG/BUPIVACAINE 0.125%/ML/NS INJ,BAG,250ML (22990) VA PRODUCT (50.68)

Name	Value
NAME	HYDROMORPHONE 0.02MG/BUPIVACAINE 0.125%/ML/NS INJ,BAG,250ML
VA GENERIC NAME	BUPIVACAINE/HYDROMORPHONE
DOSAGE FORM	INJ,SOLN
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	BUPIVACAINE STRENGTH: 0.125 UNITS: % HYDROMORPHONE STRENGTH: 0.02 UNITS: MG/ML
CS FEDERAL SCHEDULE	Schedule II
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	BUPIVACAINE/HYDROMORPHONE 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	HYDROMOR 0.02MG/BUPIV 0.125%/ML NS 250ML
VA PRODUCT IDENTIFIER	H0616
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	BAG
MASTER ENTRY FOR VUID	YES
VUID	4031374
EFFECTIVE DATE/TIME	2012-04-06 00:00:00 STATUS: ACTIVE