CIMETIDINE HCL 3MG/ML/DEXTROSE 5% INJ (6897)    VA PRODUCT (50.68)

Name Value
NAME CIMETIDINE HCL 3MG/ML/DEXTROSE 5% INJ
VA GENERIC NAME CIMETIDINE/DEXTROSE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 3
INACTIVATION DATE 2007-09-19 00:00:00
UNITS MG/ML
DSS NUMBER 2
NATIONAL FORMULARY NAME CIMETIDINE/DEXTROSE 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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4007409
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE