DICLOFENAC NA 75MG/MISOPROSTOL 200MG TAB (12809)    VA PRODUCT (50.68)

Name Value
NAME DICLOFENAC NA 75MG/MISOPROSTOL 200MG TAB
VA GENERIC NAME DICLOFENAC/MISOPROSTOL
DOSAGE FORM TAB
FDA MED GUIDE Diclofenac_Misoprostol_(Generic)_(2021).pdf
FORMULARY DESIGNATOR TEXT 
Provided as combination or components
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 1999-02-01 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME DICLOFENAC/MISOPROSTOL 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 DICLOFENAC NA 75/MISOPROSTOL 200MG TAB
VA PRODUCT IDENTIFIER D0397
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4013174
EFFECTIVE DATE/TIME
  • 1999-02-01 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE