HYDROMORPHONE HCL 4MG/ML INJ,TUBEX,1ML (2703)    VA PRODUCT (50.68)

Name Value
NAME HYDROMORPHONE HCL 4MG/ML INJ,TUBEX,1ML
VA GENERIC NAME HYDROMORPHONE
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
STRENGTH 4
INACTIVATION DATE 2008-07-02 00:00:00
UNITS MG/ML
DSS NUMBER 14
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 4MG/ML INJ TUBEX 1ML
VA PRODUCT IDENTIFIER H0252
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4003284
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
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE