IMIPRAMINE HCL 25MG TAB,UD (15038)    VA PRODUCT (50.68)

Name Value
NAME IMIPRAMINE HCL 25MG TAB,UD
VA GENERIC NAME IMIPRAMINE
DOSAGE FORM TAB
FDA MED GUIDE Imipramine_HCl_(Generic)_(2016).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 25
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2022-01-15 00:00:00
UNITS MG
NATIONAL FORMULARY NAME IMIPRAMINE 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 IMIPRAMINE HCL 25MG TAB UD
VA PRODUCT IDENTIFIER I0322
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4015402
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2022-01-15 00:00:00
    STATUS:   INACTIVE