VERAPAMIL HCL 2.5MG/ML (PF) INJ (3065)    VA PRODUCT (50.68)

Name Value
NAME VERAPAMIL HCL 2.5MG/ML (PF) INJ
VA GENERIC NAME VERAPAMIL
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP Hypertension treatment and CHF treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2.5
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
DSS NUMBER 9
NATIONAL FORMULARY NAME VERAPAMIL INJ,SOLN
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:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME VERAPAMIL HCL 2.5MG/ML PF INJ
VA PRODUCT IDENTIFIER V0085
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4003640
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2019-05-16 00:00:00
    STATUS:   INACTIVE
  • 2021-05-03 00:00:00
    STATUS:   ACTIVE
  • 2021-07-14 00:00:00
    STATUS:   ACTIVE
  • 2021-11-04 00:00:00
    STATUS:   ACTIVE