ATROPINE SO4 0.14MG/EDROPHONIUM CL 10MG/ML INJ (9767) VA PRODUCT (50.68)

Name	Value
NAME	ATROPINE SO4 0.14MG/EDROPHONIUM CL 10MG/ML INJ
VA GENERIC NAME	ATROPINE/EDROPHONIUM
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.14 UNITS: MG/ML PHENOL EDROPHONIUM CHLORIDE STRENGTH: 10 UNITS: MG/ML SODIUM SULFITE
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	ATROPINE/EDROPHONIUM 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	ATROPINE 0.14/EDROPHONIUM CL 10MG/ML INJ
VA PRODUCT IDENTIFIER	A0930
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4010176
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE