VARENICLINE TARTRATE TAB STARTER PACK,53 (17845)    VA PRODUCT (50.68)

Name Value
NAME VARENICLINE TARTRATE TAB STARTER PACK,53
VA GENERIC NAME VARENICLINE
DOSAGE FORM TAB
FDA MED GUIDE Varenicline_(Chantix)_(2018).pdf
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-12-12 00:00:00
NATIONAL FORMULARY NAME VARENICLINE TAB
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 VARENICLINE TARTRATE TAB STARTER PACK,53
VA PRODUCT IDENTIFIER V0151
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4025532
EFFECTIVE DATE/TIME
  • 2006-09-05 00:00:00
    STATUS:   ACTIVE
  • 2007-12-12 00:00:00
    STATUS:   INACTIVE