CYANIDE ANTIDOTE PACKAGE INJ (598) VA PRODUCT (50.68)

Name	Value
NAME	CYANIDE ANTIDOTE PACKAGE INJ
VA GENERIC NAME	AMYL NITRITE/SODIUM NITRITE/SODIUM THIOSULFATE
DOSAGE FORM	KIT
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	AMYL NITRITE STRENGTH: 5 UNITS: MIN SODIUM NITRITE STRENGTH: 300 UNITS: MG SODIUM THIOSULFATE STRENGTH: 12.5 UNITS: GM
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2016-06-15 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	AMYL NITRITE/SODIUM NITRITE/SODIUM THIOSULFATE KIT
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
VA PRINT NAME	CYANIDE ANTIDOTE PACKAGE INJ
VA PRODUCT IDENTIFIER	C0679
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	NO
VUID	4001210
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 1999-06-07 00:00:00 STATUS: INACTIVE