LANSOPRAZOLE 15MG CAP,SA/NAPROXEN 375MG TAB PKT,84 (16691)    VA PRODUCT (50.68)

Name Value
NAME LANSOPRAZOLE 15MG CAP,SA/NAPROXEN 375MG TAB PKT,84
VA GENERIC NAME LANSOPRAZOLE/NAPROXEN
DOSAGE FORM KIT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-05-14 00:00:00
NATIONAL FORMULARY NAME LANSOPRAZOLE/NAPROXEN KIT
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 LANSOPRAZOLE 15MG/NAPROXEN 375MG 84 PKT
VA PRODUCT IDENTIFIER L0326
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4017054
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2006-07-03 00:00:00
    STATUS:   INACTIVE
  • 2006-07-03 00:00:00
    STATUS:   INACTIVE
  • 2007-05-23 00:00:00
    STATUS:   ACTIVE
  • 2007-05-14 00:00:00
    STATUS:   INACTIVE