HYDROMORPHONE HCL 3MG/ML INJ (2693)    VA PRODUCT (50.68)

Name Value
NAME HYDROMORPHONE HCL 3MG/ML INJ
VA GENERIC NAME HYDROMORPHONE
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
STRENGTH 3
INACTIVATION DATE 2008-07-01 00:00:00
UNITS MG/ML
DSS NUMBER 4
NATIONAL FORMULARY NAME HYDROMORPHONE 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 HYDROMORPHONE HCL 3MG/ML INJ
VA PRODUCT IDENTIFIER H0305
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4003274
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-07-01 00:00:00
    STATUS:   INACTIVE