PROCHLORPERAZINE EDISYLATE 5MG/5ML SYRUP (2512)    VA PRODUCT (50.68)

Name Value
NAME PROCHLORPERAZINE EDISYLATE 5MG/5ML SYRUP
VA GENERIC NAME PROCHLORPERAZINE
DOSAGE FORM SYRUP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2008-07-02 00:00:00
UNITS MG/5ML
DSS NUMBER 8
NATIONAL FORMULARY NAME PROCHLORPERAZINE SYRUP
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 EDISYLATE 5MG/5ML SYRUP
VA PRODUCT IDENTIFIER P0137
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4003093
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE