HYDROCORTISONE ACETATE 15MG SUPP,RTL (2330)    VA PRODUCT (50.68)

Name Value
NAME HYDROCORTISONE ACETATE 15MG SUPP,RTL
VA GENERIC NAME HYDROCORTISONE
DOSAGE FORM SUPP,RTL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 15
INACTIVATION DATE 2007-09-28 00:00:00
UNITS MG
DSS NUMBER 24
NATIONAL FORMULARY NAME HYDROCORTISONE SUPP,RTL
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4002913
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE