NEVIRAPINE 200MG TAB,UD (13388)    VA PRODUCT (50.68)

Name Value
NAME NEVIRAPINE 200MG TAB,UD
VA GENERIC NAME NEVIRAPINE
DOSAGE FORM TAB
FDA MED GUIDE Nevirapine_Tab_XR_Susp_(Viramune)_(2018).pdf
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT 
Restricted to HIV/ID (or facility designated/authorized provider)
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
NATIONAL FORMULARY RESTRICTION 
Refer to HIV/AIDS TAG treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2008-09-02 00:00:00
UNITS MG
NATIONAL FORMULARY NAME NEVIRAPINE 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 NEVIRAPINE 200MG TAB UD
VA PRODUCT IDENTIFIER N0370
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4013753
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-24 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE