PERPHENAZINE 16MG/5ML LIQUID,ORAL (6029)    VA PRODUCT (50.68)

Name Value
NAME PERPHENAZINE 16MG/5ML LIQUID,ORAL
VA GENERIC NAME PERPHENAZINE
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 16
INACTIVATION DATE 2008-09-02 00:00:00
UNITS MG/5ML
DSS NUMBER 5
NATIONAL FORMULARY NAME PERPHENAZINE LIQUID,ORAL
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 PERPHENAZINE 16MG/5ML LIQUID
VA PRODUCT IDENTIFIER P0032
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4006551
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE