SEVELAMER HCL 400MG TAB (14600)    VA PRODUCT (50.68)

Name Value
NAME SEVELAMER HCL 400MG TAB
VA GENERIC NAME SEVELAMER HCL
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 400
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
NATIONAL FORMULARY NAME SEVELAMER HCL TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2019-02-21 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-02-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SEVELAMER HCL 400MG TAB
VA PRODUCT IDENTIFIER S0363
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4014964
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2018-03-16 00:00:00
    STATUS:   INACTIVE
  • 2019-03-12 00:00:00
    STATUS:   ACTIVE