LAMOTRIGINE 25MG TAB,42/LAMOTRIGINE 100MG TAB,5,KIT (18709)    VA PRODUCT (50.68)

Name Value
NAME LAMOTRIGINE 25MG TAB,42/LAMOTRIGINE 100MG TAB,5,KIT
VA GENERIC NAME LAMOTRIGINE
DOSAGE FORM TAB
FDA MED GUIDE Lamotrigine_IR_Chew_ODT_(Lamictal)_(2018).pdf
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2016-10-18 00:00:00
NATIONAL FORMULARY NAME LAMOTRIGINE 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 LAMICTAL 25MG,42/100MG,5 ESCALATION KIT
VA PRODUCT IDENTIFIER L0420
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4026526
EFFECTIVE DATE/TIME
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE