VERAPAMIL HCL 2.5MG/ML/NACL 0.85% INJ (9519)    VA PRODUCT (50.68)

Name Value
NAME VERAPAMIL HCL 2.5MG/ML/NACL 0.85% INJ
VA GENERIC NAME SODIUM CHLORIDE/VERAPAMIL
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP Hypertension treatment and CHF treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2.5
INACTIVATION DATE 2002-09-27 00:00:00
UNITS MG/ML
DSS NUMBER 1
NATIONAL FORMULARY NAME SODIUM CHLORIDE/VERAPAMIL INJ,SOLN
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4009939
EFFECTIVE DATE/TIME
  • 2002-09-27 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE