CIMETIDINE HCL 6MG/ML/NACL 0.9% INJ,BAG,50ML (8324)    VA PRODUCT (50.68)

Name Value
NAME CIMETIDINE HCL 6MG/ML/NACL 0.9% INJ,BAG,50ML
VA GENERIC NAME CIMETIDINE/SODIUM CHLORIDE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 6
INACTIVATION DATE 2009-05-21 00:00:00
UNITS MG/ML
DSS NUMBER 2
NATIONAL FORMULARY NAME CIMETIDINE/SODIUM CHLORIDE 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
VA PRINT NAME CIMETIDINE 6MG/ML/NACL 0.9% INJ BAG 50ML
VA PRODUCT IDENTIFIER C0628
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BAG
MASTER ENTRY FOR VUID YES
VUID 4008792
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-21 00:00:00
    STATUS:   INACTIVE