ACRIVASTINE 8MG/PSEUDOEPHEDRINE HCL 60MG CAP (11966)    VA PRODUCT (50.68)

Name Value
NAME ACRIVASTINE 8MG/PSEUDOEPHEDRINE HCL 60MG CAP
VA GENERIC NAME ACRIVASTINE/PSEUDOEPHEDRINE
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-04-15 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ACRIVASTINE/PSEUDOEPHEDRINE CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2021-02-03 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-02-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ACRIVASTINE 8/PSEUDOEPHEDRINE 60MG CAP
VA PRODUCT IDENTIFIER A0554
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4012332
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-04-15 00:00:00
    STATUS:   INACTIVE
  • 2021-04-15 00:00:00
    STATUS:   INACTIVE
  • 2021-04-15 00:00:00
    STATUS:   INACTIVE