SUMATRIPTAN SUCCINATE 4MG/0.5ML INJ,SYRINGE,0.5ML (30600)    VA PRODUCT (50.68)

Name Value
NAME SUMATRIPTAN SUCCINATE 4MG/0.5ML INJ,SYRINGE,0.5ML
VA GENERIC NAME SUMATRIPTAN
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 4
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/0.5ML
NATIONAL FORMULARY NAME SUMATRIPTAN 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:   2020-12-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SUMATRIPTAN 4MG/0.5ML INJ SYRINGE 0.5ML
VA PRODUCT IDENTIFIER S0909
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4039911
EFFECTIVE DATE/TIME
  • 2020-12-16 00:00:00
    STATUS:   ACTIVE
  • 2020-12-16 00:00:00
    STATUS:   ACTIVE
  • 2020-12-16 00:00:00
    STATUS:   ACTIVE