METHOTREXATE 12.5MG/0.5ML INJ,SOLN SYRINGE (30672)    VA PRODUCT (50.68)

Name Value
NAME METHOTREXATE 12.5MG/0.5ML INJ,SOLN SYRINGE
VA GENERIC NAME METHOTREXATE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 12.5
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/0.5ML
NATIONAL FORMULARY NAME METHOTREXATE INJ
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:   2021-01-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME METHOTREXATE 12.5MG/0.5ML SOLN INJ SYR
VA PRODUCT IDENTIFIER M1247
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4039991
EFFECTIVE DATE/TIME
  • 2021-01-28 00:00:00
    STATUS:   ACTIVE
  • 2021-01-28 00:00:00
    STATUS:   ACTIVE
  • 2021-01-28 00:00:00
    STATUS:   ACTIVE