LOPERAMIDE HCL 1MG/5ML LIQUID,20ML (12925) VA PRODUCT (50.68)

Name	Value
NAME	LOPERAMIDE HCL 1MG/5ML LIQUID,20ML
VA GENERIC NAME	LOPERAMIDE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 5.25 UNITS: % LOPERAMIDE HYDROCHLORIDE STRENGTH: 1 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1
INACTIVATION DATE	2007-09-28 00:00:00
UNITS	MG/5ML
NATIONAL FORMULARY NAME	LOPERAMIDE LIQUID,ORAL
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	LOPERAMIDE HCL 1MG/5ML LIQUID 20ML
VA PRODUCT IDENTIFIER	L0209
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4013290
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE