| NAME |
OMEPRAZOLE 40MG/SODIUM BICARBONATE 1100MG CAP,ORAL |
| VA GENERIC NAME |
OMEPRAZOLE/SODIUM BICARBONATE |
| DOSAGE FORM |
CAP,ORAL |
| FDA MED GUIDE |
Omeprazole_Na_Bicarb_Cap_(Generic)_(2021).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
OMEPRAZOLE/SODIUM BICARBONATE CAP,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
OMEPRAZOLE 40/NA BICARB 1100MG ORAL CAP |
| VA PRODUCT IDENTIFIER |
O0225 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
CAP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4025611 |
| EFFECTIVE DATE/TIME |
-
- 2006-10-11 00:00:00
- STATUS: ACTIVE
|
