FENTANYL CITRATE 25MCG/ML INJ,SOLN,PCA,55ML (26847)    VA PRODUCT (50.68)

Name Value
NAME FENTANYL CITRATE 25MCG/ML INJ,SOLN,PCA,55ML
VA GENERIC NAME FENTANYL
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
STRENGTH 25
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-01-15 00:00:00
UNITS MCG/ML
NATIONAL FORMULARY NAME FENTANYL INJ,SOLN
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 FENTANYL 25MCG/ML SOLN INJ PCA 55ML
VA PRODUCT IDENTIFIER F0604
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4035696
EFFECTIVE DATE/TIME
  • 2016-05-13 00:00:00
    STATUS:   ACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE