| NAME |
HYDROMORPHONE 0.05MG/BUPIVACAINE 0.1%/ML/NS INJ,BAG,200ML |
| VA GENERIC NAME |
BUPIVACAINE/HYDROMORPHONE |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2019-10-15 00:00:00 |
| NATIONAL FORMULARY NAME |
BUPIVACAINE/HYDROMORPHONE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
HYDROMOR 0.05MG/BUPIV 0.1%/ML NS 200ML |
| VA PRODUCT IDENTIFIER |
H0693 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BAG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035656 |
| EFFECTIVE DATE/TIME |
-
- 2016-04-29 00:00:00
- STATUS: ACTIVE
-
- 2019-10-15 00:00:00
- STATUS: INACTIVE
|
