BACLOFEN 0.5MG/ML (PF) INJ,INTRATHECAL,SYRINGE,1ML (30708)    VA PRODUCT (50.68)

Name Value
NAME BACLOFEN 0.5MG/ML (PF) INJ,INTRATHECAL,SYRINGE,1ML
VA GENERIC NAME BACLOFEN
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.5
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-04-05 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME BACLOFEN 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:   2021-02-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BACLOFEN 0.5MG/ML PF INTRATHEC SYR 1ML
VA PRODUCT IDENTIFIER B0913
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4040032
EFFECTIVE DATE/TIME
  • 2021-02-09 00:00:00
    STATUS:   ACTIVE
  • 2021-04-05 00:00:00
    STATUS:   INACTIVE
  • 2021-02-09 00:00:00
    STATUS:   ACTIVE
  • 2021-04-05 00:00:00
    STATUS:   INACTIVE
  • 2021-02-09 00:00:00
    STATUS:   ACTIVE
  • 2021-04-05 00:00:00
    STATUS:   INACTIVE