LANSOPRAZOLE 15MG CAP,SA (12409)    VA PRODUCT (50.68)

Name Value
NAME LANSOPRAZOLE 15MG CAP,SA
VA GENERIC NAME LANSOPRAZOLE
DOSAGE FORM CAP,SA
FDA MED GUIDE Lansoprazole_(Generic)_(2022).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 15
INACTIVATION DATE 2007-05-14 00:00:00
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME LANSOPRAZOLE 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
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LANSOPRAZOLE 15MG SA CAP
VA PRODUCT IDENTIFIER L0161
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4012775
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-05-14 00:00:00
    STATUS:   INACTIVE