LAMOTRIGINE 25MG TAB,84/LAMOTRIGINE 100MG TAB,14,KIT (17116)    VA PRODUCT (50.68)

Name Value
NAME LAMOTRIGINE 25MG TAB,84/LAMOTRIGINE 100MG TAB,14,KIT
VA GENERIC NAME LAMOTRIGINE
DOSAGE FORM TAB
FDA MED GUIDE Lamotrigine_Tab_(Generic)_(2021).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME LAMOTRIGINE TAB
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 LAMICTAL 25MG,84/100MG,14 ESCALATION KIT
VA PRODUCT IDENTIFIER L0343
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4024548
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE