| NAME |
AMYL NITRITE 0.3ML/AMP,INHL |
| VA GENERIC NAME |
AMYL NITRITE |
| DOSAGE FORM |
INHALANT |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.3 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
ML/AMP |
| DSS NUMBER |
2 |
| 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
|
| VA PRINT NAME |
AMYL NITRITE 0.3ML/AMP INHL |
| VA PRODUCT IDENTIFIER |
A0591 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4001212 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
