ESOMEPRAZOLE MAGNESIUM 20MG CAP,EC (17779)    VA PRODUCT (50.68)

Name Value
NAME ESOMEPRAZOLE MAGNESIUM 20MG CAP,EC
VA GENERIC NAME ESOMEPRAZOLE
DOSAGE FORM CAP,EC
FDA MED GUIDE Esomeprazole_Magnesium_(Generic)_(2021).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 20
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2016-02-10 00:00:00
UNITS MG
NATIONAL FORMULARY NAME ESOMEPRAZOLE CAP,EC
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 ESOMEPRAZOLE MAGNESIUM 20MG EC CAP
VA PRODUCT IDENTIFIER E0443
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4025391
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE