APREPITANT 125MG X1/80MG X2 CAP,PKT,3 (16259)    VA PRODUCT (50.68)

Name Value
NAME APREPITANT 125MG X1/80MG X2 CAP,PKT,3
VA GENERIC NAME APREPITANT
DOSAGE FORM CAP,ORAL
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR TEXT
 
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME APREPITANT CAP,ORAL
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 APREPITANT 125MG X1/80MG X2 CAP 3 PKT
VA PRODUCT IDENTIFIER A1171
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4016622
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE