MECLIZINE HCL 12.5MG TAB,UD (13648)    VA PRODUCT (50.68)

Name Value
NAME MECLIZINE HCL 12.5MG TAB,UD
VA GENERIC NAME MECLIZINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 12.5
INACTIVATION DATE 2010-11-03 00:00:00
UNITS MG
NATIONAL FORMULARY NAME MECLIZINE 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
    COPAY END DATE:   2019-12-31 00:00:00
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2020-01-01 00:00:00
    COPAY END DATE:   2020-12-31 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MECLIZINE HCL 12.5MG TAB UD
VA PRODUCT IDENTIFIER M0480
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4014013
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-11-03 00:00:00
    STATUS:   INACTIVE