FENOFIBRATE 43MG CAP (17335)    VA PRODUCT (50.68)

Name Value
NAME FENOFIBRATE 43MG CAP
VA GENERIC NAME FENOFIBRATE
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 43
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
NATIONAL FORMULARY NAME FENOFIBRATE 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
    COPAY END DATE:   2022-12-31 00:00:00
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2023-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FENOFIBRATE 43MG CAP
VA PRODUCT IDENTIFIER F0353
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4024767
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE
  • 2009-09-23 00:00:00
    STATUS:   INACTIVE
  • 2010-01-12 00:00:00
    STATUS:   ACTIVE
  • 2012-07-05 00:00:00
    STATUS:   INACTIVE
  • 2012-09-10 00:00:00
    STATUS:   ACTIVE