FAMOTIDINE 10MG TAB,CHEW (13385)    VA PRODUCT (50.68)

Name Value
NAME FAMOTIDINE 10MG TAB,CHEW
VA GENERIC NAME FAMOTIDINE
DOSAGE FORM TAB,CHEWABLE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2009-05-20 00:00:00
UNITS MG
NATIONAL FORMULARY NAME FAMOTIDINE TAB,CHEWABLE
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 FAMOTIDINE 10MG CHEW TAB
VA PRODUCT IDENTIFIER F0207
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4013750
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE