PROCAINE HCL 375MG CAP (3753)    VA PRODUCT (50.68)

Name Value
NAME PROCAINE HCL 375MG CAP
VA GENERIC NAME PROCAINE
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 375
INACTIVATION DATE 2002-10-24 00:00:00
UNITS MG
DSS NUMBER 5
NATIONAL FORMULARY NAME PROCAINE CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PROCAINE HCL 375MG CAP
VA PRODUCT IDENTIFIER P0482
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4004311
EFFECTIVE DATE/TIME
  • 2002-10-24 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE