SEVELAMER HCL 403MG CAP (13021)    VA PRODUCT (50.68)

Name Value
NAME SEVELAMER HCL 403MG CAP
VA GENERIC NAME SEVELAMER HCL
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 403
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2008-07-02 00:00:00
UNITS MG
NATIONAL FORMULARY NAME SEVELAMER 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 SEVELAMER HCL 403MG CAP
VA PRODUCT IDENTIFIER S0267
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4013386
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE