PROCHLORPERAZINE 5MG SUPP,RTL (2510)    VA PRODUCT (50.68)

Name Value
NAME PROCHLORPERAZINE 5MG SUPP,RTL
VA GENERIC NAME PROCHLORPERAZINE
DOSAGE FORM SUPP,RTL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2008-07-02 00:00:00
UNITS MG
DSS NUMBER 6
NATIONAL FORMULARY NAME PROCHLORPERAZINE 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
VA PRINT NAME PROCHLORPERAZINE 5MG RTL SUPP
VA PRODUCT IDENTIFIER P0135
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4003091
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE