PROMETHAZINE HCL 6.25MG/5ML SOLN,ORAL (29157)    VA PRODUCT (50.68)

Name Value
NAME PROMETHAZINE HCL 6.25MG/5ML SOLN,ORAL
VA GENERIC NAME PROMETHAZINE
DOSAGE FORM SOLN,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 6.25
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2019-04-04 00:00:00
UNITS MG/5ML
NATIONAL FORMULARY NAME PROMETHAZINE SOLN,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-04-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PROMETHAZINE HCL 6.25MG/5ML ORAL SOLN
VA PRODUCT IDENTIFIER P1238
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4038284
EFFECTIVE DATE/TIME
  • 2019-04-04 00:00:00
    STATUS:   ACTIVE
  • 2019-04-04 00:00:00
    STATUS:   INACTIVE