ETHCHLORVYNOL 750MG CAP,SA (5740)    VA PRODUCT (50.68)

Name Value
NAME ETHCHLORVYNOL 750MG CAP,SA
VA GENERIC NAME ETHCHLORVYNOL
DOSAGE FORM CAP,SA
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 750
INACTIVATION DATE 2007-09-18 00:00:00
UNITS MG
DSS NUMBER 5
NATIONAL FORMULARY NAME ETHCHLORVYNOL CAP,SA
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 ETHCHLORVYNOL 750MG SA CAP
VA PRODUCT IDENTIFIER E0289
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4006265
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE