CLONIDINE 0.04MG/KETOROLAC 15MG/ROPIVACAINE 123MG/50ML INJ SYRIN (31862) VA PRODUCT (50.68)

Name	Value
NAME	CLONIDINE 0.04MG/KETOROLAC 15MG/ROPIVACAINE 123MG/50ML INJ SYRIN
VA GENERIC NAME	CLONIDINE/KETOROLAC/ROPIVACAINE
DOSAGE FORM	INJ
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ROPIVACAINE HYDROCHLORIDE STRENGTH: 123 UNITS: MG/50ML CLONIDINE STRENGTH: 0.04 UNITS: MG/50ML KETOROLAC STRENGTH: 15 UNITS: MG/50ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CLONIDINE/KETOROLAC/ROPIVACAINE 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: 2022-04-06 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	CLONIDI 0.04/KETOR 15/ROPIVAC 123MG/50ML
VA PRODUCT IDENTIFIER	C2032
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	SYR
MASTER ENTRY FOR VUID	YES
VUID	4041309
EFFECTIVE DATE/TIME	2022-04-06 00:00:00 STATUS: ACTIVE