TOPIRAMATE 15MG CAP (12977)    VA PRODUCT (50.68)

Name Value
NAME TOPIRAMATE 15MG CAP
VA GENERIC NAME TOPIRAMATE
DOSAGE FORM CAP,ORAL
FDA MED GUIDE Topiramate_Tab_Sprinkle_(Generic)_(2020).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 15
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2013-03-13 00:00:00
UNITS MG
NATIONAL FORMULARY NAME TOPIRAMATE CAP,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 TOPIRAMATE 15MG CAP
VA PRODUCT IDENTIFIER T0445
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4013342
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE