| NAME |
RIBAVIRIN 200MG/5ML SOLN,ORAL |
| VA GENERIC NAME |
RIBAVIRIN |
| DOSAGE FORM |
SOLN,ORAL |
| FDA MED GUIDE |
Ribavirin_Cap_and_Liquid_(Rebetol)_(2020).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| DOT SHIPPING CODE |
|
| FORMULARY DESIGNATOR |
R |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
200 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2019-12-16 00:00:00 |
| UNITS |
MG/5ML |
| NATIONAL FORMULARY NAME |
RIBAVIRIN SOLN,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
RIBAVIRIN 200MG/5ML ORAL SOLN |
| VA PRODUCT IDENTIFIER |
R0185 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4024775 |
| EFFECTIVE DATE/TIME |
-
- 2006-01-24 00:00:00
- STATUS: ACTIVE
-
- 2019-12-16 00:00:00
- STATUS: INACTIVE
|
