| NAME |
PHENOBARBITAL NA 100MG/VIL INJ |
| VA GENERIC NAME |
PHENOBARBITAL |
| DOSAGE FORM |
INJ |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
100 |
| UNITS |
MG/VIAL |
| NATIONAL FORMULARY NAME |
PHENOBARBITAL INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2023-01-19 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PHENOBARBITAL NA 100MG/VIL INJ |
| VA PRODUCT IDENTIFIER |
P1317 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041977 |
| EFFECTIVE DATE/TIME |
-
- 2023-01-19 00:00:00
- STATUS: ACTIVE
|
