AMMONIA N-13 INJ,SOLN (29535)    VA PRODUCT (50.68)

Name Value
NAME AMMONIA N-13 INJ,SOLN
VA GENERIC NAME AMMONIA N-13
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME AMMONIA N-13 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:   2019-09-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME AMMONIA N-13 INJ SOLN
VA PRODUCT IDENTIFIER A2030
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4038712
EFFECTIVE DATE/TIME
  • 2019-09-19 00:00:00
    STATUS:   ACTIVE