ACARBOSE 50MG TAB,UD (12471)    VA PRODUCT (50.68)

Name Value
NAME ACARBOSE 50MG TAB,UD
VA GENERIC NAME ACARBOSE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION
Refer to PBM/MAP and PBM/TAG Diabetes treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME ACARBOSE TAB
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 ACARBOSE 50MG TAB UD
VA PRODUCT IDENTIFIER A0997
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4012837
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE