STAVUDINE (d4T) 5MG/5ML SUSP (13148)    VA PRODUCT (50.68)

Name Value
NAME STAVUDINE (d4T) 5MG/5ML SUSP
VA GENERIC NAME STAVUDINE (d4T)
DOSAGE FORM PWDR,RENST-ORAL
FDA MED GUIDE Stavudine_Cap_and_Liquid_(Zerit)_(2018).pdf
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to HIV/AIDS TAG treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/5ML
NATIONAL FORMULARY NAME STAVUDINE (DT4) PWDR,RENST-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 STAVUDINE (d4T) 5MG/5ML SUSP
VA PRODUCT IDENTIFIER S0300
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4013513
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-04-25 00:00:00
    STATUS:   ACTIVE