| NAME |
LAMOTRIGINE 25MG TAB,35,KIT |
| VA GENERIC NAME |
LAMOTRIGINE |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Lamotrigine_Tab_(Generic)_(2021).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
25 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
LAMOTRIGINE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LAMICTAL 25MG TAB,35 STARTER KIT |
| VA PRODUCT IDENTIFIER |
L0419 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4026525 |
| EFFECTIVE DATE/TIME |
-
- 2007-10-10 00:00:00
- STATUS: ACTIVE
|
