LANSOPRAZOLE 15MG CAP,EC/NAPROXEN 375MG TAB PKT,21 (17785)    VA PRODUCT (50.68)

Name Value
NAME LANSOPRAZOLE 15MG CAP,EC/NAPROXEN 375MG TAB PKT,21
VA GENERIC NAME LANSOPRAZOLE/NAPROXEN
DOSAGE FORM KIT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2008-09-02 00:00:00
NATIONAL FORMULARY NAME LANSOPRAZOLE/NAPROXEN KIT
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 LANSOPRAZOLE 15MG/NAPROXEN 375MG 21 PKT
VA PRODUCT IDENTIFIER L0325
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4025397
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE
  • 2006-07-03 00:00:00
    STATUS:   INACTIVE
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE