| NAME |
ESCITALOPRAM OXALATE 5MG TAB |
| VA GENERIC NAME |
ESCITALOPRAM |
| DOSAGE FORM |
TAB,ORAL |
| FDA MED GUIDE |
Escitalopram_Tab_(Generic)_(2020).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
5 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
ESCITALOPRAM TAB,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 1
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2022-12-31 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2023-01-01 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
YES |
| VA PRINT NAME |
ESCITALOPRAM OXALATE 5MG TAB |
| VA PRODUCT IDENTIFIER |
E0346 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4016305 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
