DIDANOSINE 125MG CAP,EC (16666)    VA PRODUCT (50.68)

Name Value
NAME DIDANOSINE 125MG CAP,EC
VA GENERIC NAME DIDANOSINE
DOSAGE FORM CAP,EC
FDA MED GUIDE Didanosine_EC_(Generic)_(2018).pdf
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT 
Restricted to HIV/ID (or facility designated/authorized provider)
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 125
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2020-08-16 00:00:00
UNITS MG
NATIONAL FORMULARY NAME DIDANOSINE CAP,EC
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 DIDANOSINE 125MG EC CAP
VA PRODUCT IDENTIFIER D0628
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4017029
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2020-08-16 00:00:00
    STATUS:   INACTIVE
  • 2020-08-16 00:00:00
    STATUS:   INACTIVE