| NAME |
METHOTREXATE NA 25MG/ML/NACL 0.49% (PF) INJ |
| VA GENERIC NAME |
METHOTREXATE/SODIUM CHLORIDE |
| DOSAGE FORM |
INJ,SOLN |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
25 |
| INACTIVATION DATE |
2008-09-03 00:00:00 |
| UNITS |
MG/ML |
| DSS NUMBER |
2 |
| NATIONAL FORMULARY NAME |
METHOTREXATE/SODIUM CHLORIDE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
METHOTREXATE 25MG/ML/NACL 0.49% INJ |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4007419 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2008-09-03 00:00:00
- STATUS: INACTIVE
|
