HYDROCORTISONE CYPIONATE 10MG/5ML SUSP,ORAL (2314)    VA PRODUCT (50.68)

Name Value
NAME HYDROCORTISONE CYPIONATE 10MG/5ML SUSP,ORAL
VA GENERIC NAME HYDROCORTISONE
DOSAGE FORM SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
INACTIVATION DATE 2007-09-20 00:00:00
UNITS MG/5ML
DSS NUMBER 8
NATIONAL FORMULARY NAME HYDROCORTISONE SUSP
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 HYDROCORTISONE CYPION 10MG/5ML ORAL SUSP
VA PRODUCT IDENTIFIER H0184
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4002897
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE