METOCLOPRAMIDE 15MG/SPRAY SOLN,NASAL,9.8ML (30420)    VA PRODUCT (50.68)

Name Value
NAME METOCLOPRAMIDE 15MG/SPRAY SOLN,NASAL,9.8ML
VA GENERIC NAME METOCLOPRAMIDE
DOSAGE FORM SOLN,NASAL
FDA MED GUIDE Metoclopramide_Nasal_(Gimoti)_(2020).pdf
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR TEXT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 15
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/SPRAY
NATIONAL FORMULARY NAME METOCLOPRAMIDE SOLN,NASAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2020-09-22 00:00:00
PGX ELIGIBLE YES
PGX SUPPRESSED NO
VA PRINT NAME METOCLOPRAMIDE 15MG/SPRAY 112D NASAL INH
VA PRODUCT IDENTIFIER M1243
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039712
EFFECTIVE DATE/TIME
  • 2020-09-22 00:00:00
    STATUS:   ACTIVE
  • 2020-09-22 00:00:00
    STATUS:   ACTIVE
  • 2020-09-22 00:00:00
    STATUS:   ACTIVE