DICLOFENAC NA 75MG/MISOPROSTOL 200MCG TAB (13016)    VA PRODUCT (50.68)

Name Value
NAME DICLOFENAC NA 75MG/MISOPROSTOL 200MCG 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
SINGLE/MULTI SOURCE PRODUCT Multisource
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 75MG/MISOPROSTOL 200MCG TAB
VA PRODUCT IDENTIFIER D0438
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4013381
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE