PHENYLEPHRINE HCL 40MCG/ML NACL 0.9% INJ,BAG,250ML (28142)    VA PRODUCT (50.68)

Name Value
NAME PHENYLEPHRINE HCL 40MCG/ML NACL 0.9% INJ,BAG,250ML
VA GENERIC NAME PHENYLEPHRINE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 40
UNITS MCG/ML
NATIONAL FORMULARY NAME PHENYLEPHRINE INJ
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2018-02-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PHENYLEPHRINE 40 MCG/ML/NS INJ 250ML
VA PRODUCT IDENTIFIER P1202
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BAG
MASTER ENTRY FOR VUID YES
VUID 4037110
EFFECTIVE DATE/TIME
  • 2017-12-01 00:00:00
    STATUS:   ACTIVE
  • 2019-10-15 00:00:00
    STATUS:   INACTIVE
  • 2020-01-09 00:00:00
    STATUS:   ACTIVE