RISPERIDONE 4MG TAB (11807)    VA PRODUCT (50.68)

Name Value
NAME RISPERIDONE 4MG TAB
VA GENERIC NAME RISPERIDONE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 4
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME RISPERIDONE TAB
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2018-02-14 00:00:00
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2018-02-15 00:00:00
    COPAY END DATE:   2018-12-31 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME RISPERIDONE 4MG TAB
VA PRODUCT IDENTIFIER R0025
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4012173
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE