| NAME |
INDIGO CARMINE 4MG/ML INJ,SYRINGE,5ML |
| VA GENERIC NAME |
INDIGO CARMINE |
| DOSAGE FORM |
INJ |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
4 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
INDIGO CARMINE INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-06-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
INDIGO CARMINE 4MG/ML INJ SYR 5ML |
| VA PRODUCT IDENTIFIER |
I0624 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036573 |
| EFFECTIVE DATE/TIME |
-
- 2017-04-14 00:00:00
- STATUS: ACTIVE
|
