LANTHANUM CARBONATE 250MG TAB,CHEWABLE (17045)    VA PRODUCT (50.68)

Name Value
NAME LANTHANUM CARBONATE 250MG TAB,CHEWABLE
VA GENERIC NAME LANTHANUM
DOSAGE FORM TAB,CHEWABLE
FDA MED GUIDE Lanthanum_(Generic)_(2017).pdf
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT
Restricted to Nephrology and trial of sevelamer carbonate tablets
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
INACTIVATION DATE 2009-05-18 00:00:00
UNITS MG
NATIONAL FORMULARY NAME LANTHANUM TAB,CHEWABLE
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 LANTHANUM CARBONATE 250MG CHEW TAB
VA PRODUCT IDENTIFIER L0339
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4017408
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-18 00:00:00
    STATUS:   INACTIVE