THIETHYLPERAZINE MALEATE 10MG SUPP,RTL (7153)    VA PRODUCT (50.68)

Name Value
NAME THIETHYLPERAZINE MALEATE 10MG SUPP,RTL
VA GENERIC NAME THIETHYLPERAZINE
DOSAGE FORM SUPP,RTL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
INACTIVATION DATE 2005-11-01 00:00:00
UNITS MG
DSS NUMBER 2
NATIONAL FORMULARY NAME THIETHYLPERAZINE SUPP,RTL
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 THIETHYLPERAZINE MALEATE 10MG RTL SUPP
VA PRODUCT IDENTIFIER T0031
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4007663
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-11-01 00:00:00
    STATUS:   INACTIVE