| NAME |
DICLOFENAC NA 37.5MG/ML INJ,VIAL,1ML |
| VA GENERIC NAME |
DICLOFENAC |
| DOSAGE FORM |
INJ |
| FDA MED GUIDE |
NSAIDs_(Class)_(2022).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
37.5 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2017-12-15 00:00:00 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
DICLOFENAC INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DICLOFENAC NA 37.5MG/ML INJ VIAL 1ML |
| VA PRODUCT IDENTIFIER |
D1109 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034710 |
| EFFECTIVE DATE/TIME |
-
- 2015-08-14 00:00:00
- STATUS: ACTIVE
-
- 2017-12-15 00:00:00
- STATUS: INACTIVE
|
