ESOMEPRAZOL MAGNESIUM 40MG CAP,SA (15076)    VA PRODUCT (50.68)

Name Value
NAME ESOMEPRAZOL MAGNESIUM 40MG CAP,SA
VA GENERIC NAME ESOMEPRAZOLE
DOSAGE FORM CAP,SA
FDA MED GUIDE Esomeprazole_Magnesium_(Generic)_(2021).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 40
INACTIVATION DATE 2009-05-20 00:00:00
UNITS MG
NATIONAL FORMULARY NAME ESOMEPRAZOLE CAP,SA
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 ESOMEPRAZOL MAGNESIUM 40MG SA CAP
VA PRODUCT IDENTIFIER E0317
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4015440
EFFECTIVE DATE/TIME
  • 2001-05-31 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE
  • 2008-07-17 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE