METHOTREXATE 25MG/ML INJ,SOLN SYRINGE,1ML (30675)    VA PRODUCT (50.68)

Name Value
NAME METHOTREXATE 25MG/ML INJ,SOLN SYRINGE,1ML
VA GENERIC NAME METHOTREXATE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 25
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/ML
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 25MG/ML SOLN INJ SYR 1ML
VA PRODUCT IDENTIFIER M1250
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4039995
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