VENLAFAXINE HCL 150MG CAP,SA (11817)    VA PRODUCT (50.68)

Name Value
NAME VENLAFAXINE HCL 150MG CAP,SA
VA GENERIC NAME VENLAFAXINE
DOSAGE FORM CAP,SA
FDA MED GUIDE Venlafaxine_SA_Cap_(Generic)_(2021).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 150
INACTIVATION DATE 2012-04-03 00:00:00
UNITS MG
DSS NUMBER 8
NATIONAL FORMULARY NAME VENLAFAXINE CAP,SA
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2020-12-31 00:00:00
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2021-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME VENLAFAXINE HCL 150MG SA CAP
VA PRODUCT IDENTIFIER V0082
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4012183
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2012-04-03 00:00:00
    STATUS:   INACTIVE