| NAME |
RIMANTADINE HCL 50MG/5ML SYRUP |
| VA GENERIC NAME |
RIMANTADINE |
| DOSAGE FORM |
SYRUP |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY RESTRICTION |
Refer to HIV/AIDS TAG treatment guidelines
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
50 |
| INACTIVATION DATE |
2011-01-06 00:00:00 |
| UNITS |
MG/5ML |
| DSS NUMBER |
2 |
| NATIONAL FORMULARY NAME |
RIMANTADINE SYRUP |
| 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 |
| VA PRINT NAME |
RIMANTADINE HCL 50MG/5ML SYRUP |
| VA PRODUCT IDENTIFIER |
R0021 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4012146 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2011-01-06 00:00:00
- STATUS: INACTIVE
|
