| NAME |
EPINEPHRINE HCL 5MG/250ML/DEXTROSE 5% INJ,BAG,250ML |
| VA GENERIC NAME |
EPINEPHRINE |
| DOSAGE FORM |
INJ,SOLN |
| HAZARDOUS TO DISPOSE |
NO |
| PRIMARY EPA CODE |
P042 |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
5 |
| UNITS |
MG/BAG |
| NATIONAL FORMULARY NAME |
EPINEPHRINE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2022-05-13 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
EPINEPHRINE HCL 5MG/D5W INJ,BAG,250ML |
| VA PRODUCT IDENTIFIER |
E0854 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BAG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041392 |
| EFFECTIVE DATE/TIME |
-
- 2022-05-13 00:00:00
- STATUS: ACTIVE
|
