| NAME |
PHENYLEPHRINE HCL 0.1MG/ML/NACL 0.9% INJ,SYRINGE,5ML |
| VA GENERIC NAME |
PHENYLEPHRINE |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.1 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
PHENYLEPHRINE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-09-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PHENYLEPHRINE 0.1MG/ML/NS INJ SYR 5ML |
| VA PRODUCT IDENTIFIER |
P1199 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036782 |
| EFFECTIVE DATE/TIME |
-
- 2017-07-12 00:00:00
- STATUS: ACTIVE
|
