MEPERIDINE HCL 10MG/ML INJ,PUMP-JET,30ML (2650)    VA PRODUCT (50.68)

Name Value
NAME MEPERIDINE HCL 10MG/ML INJ,PUMP-JET,30ML
VA GENERIC NAME MEPERIDINE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Schedule II
STRENGTH 10
INACTIVATION DATE 2007-09-20 00:00:00
UNITS MG/ML
DSS NUMBER 10
NATIONAL FORMULARY NAME MEPERIDINE INJ
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 MEPERIDINE HCL 10MG/ML INJ PUMP-JET 30ML
VA PRODUCT IDENTIFIER M0291
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4003231
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE