CIMETIDINE HCL 150MG/ML INJ,ADD-VANTAGE VIL,2ML (6304)    VA PRODUCT (50.68)

Name Value
NAME CIMETIDINE HCL 150MG/ML INJ,ADD-VANTAGE VIL,2ML
VA GENERIC NAME CIMETIDINE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 150
INACTIVATION DATE 2007-09-28 00:00:00
UNITS MG/ML
DSS NUMBER 8
NATIONAL FORMULARY NAME CIMETIDINE INJ
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 CIMETIDINE 150MG/ML INJ ADD-VANTAGE 2ML
VA PRODUCT IDENTIFIER C0627
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4006824
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE