| NAME |
FENTANYL 0.05MG/DROPERIDOL 2.5MG/ML INJ |
| VA GENERIC NAME |
DROPERIDOL/FENTANYL |
| DOSAGE FORM |
INJ,SOLN |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II |
| INACTIVATION DATE |
2003-03-19 00:00:00 |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
DROPERIDOL/FENTANYL 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 |
| TRANSMIT TO CMOP |
NO |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4008151 |
| EFFECTIVE DATE/TIME |
-
- 2003-03-19 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
