| NAME |
HYDROMORPHONE HCL 10MG/ML INJ |
| VA GENERIC NAME |
HYDROMORPHONE |
| DOSAGE FORM |
INJ |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II |
| STRENGTH |
10 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
1999-07-19 00:00:00 |
| UNITS |
MG/ML |
| DSS NUMBER |
17 |
| NATIONAL FORMULARY NAME |
HYDROMORPHONE INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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 |
HYDROMORPHONE HCL 10MG/ML INJ |
| VA PRODUCT IDENTIFIER |
H0300 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
NO |
| VUID |
4003275 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2005-12-08 00:00:00
- STATUS: ACTIVE
-
- 2008-07-02 00:00:00
- STATUS: INACTIVE
-
- 1999-07-19 00:00:00
- STATUS: INACTIVE
-
- 2008-07-17 00:00:00
- STATUS: ACTIVE
|
