ESCITALOPRAM OXALATE 5MG TAB,UD (15943)    VA PRODUCT (50.68)

Name Value
NAME ESCITALOPRAM OXALATE 5MG TAB,UD
VA GENERIC NAME ESCITALOPRAM
DOSAGE FORM TAB,ORAL
FDA MED GUIDE Escitalopram_Tab_(Generic)_(2020).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2007-09-28 00:00:00
UNITS MG
NATIONAL FORMULARY NAME ESCITALOPRAM TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
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 NO
PGX SUPPRESSED NO
VA PRINT NAME ESCITALOPRAM OXALATE 5MG TAB UD
VA PRODUCT IDENTIFIER E0347
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4016306
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE