KETAMINE HCL 50MG/ML INJ,SYRINGE,2ML (27067)    VA PRODUCT (50.68)

Name Value
NAME KETAMINE HCL 50MG/ML INJ,SYRINGE,2ML
VA GENERIC NAME KETAMINE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule III Non-Narcotics
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-01-15 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME KETAMINE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME KETAMINE HCL 50MG/ML INJ SYRINGE 2ML
VA PRODUCT IDENTIFIER K0065
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4035941
EFFECTIVE DATE/TIME
  • 2016-07-28 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