| NAME |
SUFENTANIL CITRATE 50MCG/ML INJ,AMP,5ML |
| VA GENERIC NAME |
SUFENTANIL |
| DOSAGE FORM |
INJ,SOLN |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II |
| STRENGTH |
50 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MCG/ML |
| DSS NUMBER |
2 |
| NATIONAL FORMULARY NAME |
SUFENTANIL INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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 |
SUFENTANIL CITRATE 50MCG/ML INJ AMP 5ML |
| VA PRODUCT IDENTIFIER |
S0254 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
AMP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4008153 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
