ADENOSINE PO4 25MG/ML INJ (6829)    VA PRODUCT (50.68)

Name Value
NAME ADENOSINE PO4 25MG/ML INJ
VA GENERIC NAME ADENOSINE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 25
INACTIVATION DATE 2004-11-18 00:00:00
UNITS MG/ML
DSS NUMBER 2
NATIONAL FORMULARY NAME ADENOSINE INJ
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID NO
VUID 4007344
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE
  • 2004-11-18 00:00:00
    STATUS:   INACTIVE