QUETIAPINE FUMARATE 400MG TAB (17573)    VA PRODUCT (50.68)

Name Value
NAME QUETIAPINE FUMARATE 400MG TAB
VA GENERIC NAME QUETIAPINE
DOSAGE FORM TAB
FDA MED GUIDE Quetiapine_(Generic)_(2021).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 400
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME QUETIAPINE TAB
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2018-12-31 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME QUETIAPINE FUMARATE 400MG TAB
VA PRODUCT IDENTIFIER Q0037
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4025105
EFFECTIVE DATE/TIME
  • 2006-05-22 00:00:00
    STATUS:   ACTIVE