| NAME |
AMYL NITRITE 0.18ML/AMP,INHL |
| VA GENERIC NAME |
AMYL NITRITE |
| DOSAGE FORM |
INHALANT |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.18 |
| INACTIVATION DATE |
2002-05-24 00:00:00 |
| UNITS |
ML/AMP |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
AMYL NITRITE INHALANT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
AMYL NITRITE 0.18ML/AMP INHL |
| VA PRODUCT IDENTIFIER |
A0667 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
AMP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4001211 |
| EFFECTIVE DATE/TIME |
-
- 2002-05-24 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
