DESOXYCORTICOSTERONE ACETATE 125MG PELLET (4559) VA PRODUCT (50.68)

Name	Value
NAME	DESOXYCORTICOSTERONE ACETATE 125MG PELLET
VA GENERIC NAME	DESOXYCORTICOSTERONE
DOSAGE FORM	PELLET
ACTIVE INGREDIENTS	DESOXYCORTICOSTERONE ACETATE STRENGTH: 125 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	125
INACTIVATION DATE	2002-05-24 00:00:00
UNITS	MG
DSS NUMBER	3
NATIONAL FORMULARY NAME	DESOXYCORTICOSTERONE PELLET
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4005106
EFFECTIVE DATE/TIME	2002-05-24 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE