NARATRIPTAN HCL 1MG TAB,UD (12805)    VA PRODUCT (50.68)

Name Value
NAME NARATRIPTAN HCL 1MG TAB,UD
VA GENERIC NAME NARATRIPTAN
DOSAGE FORM TAB
FORMULARY DESIGNATOR TEXT
Dispense limit of 18 doses of oral triptans per month
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME NARATRIPTAN 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 NARATRIPTAN HCL 1MG TAB UD
VA PRODUCT IDENTIFIER N0327
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4013170
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE