| NAME |
OMEPRAZOLE 40MG/SODIUM BICARBONATE 1680MG/PKT PWDR,ORAL |
| VA GENERIC NAME |
OMEPRAZOLE/SODIUM BICARBONATE |
| DOSAGE FORM |
PWDR,RENST-ORAL |
| FDA MED GUIDE |
Omeprazole_Na_Bicarb_Pwd_(Generic)_(Dec_2020).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
OMEPRAZOLE/SODIUM BICARBONATE PWDR,RENST-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 40MG/NA BICARB/PKT ORAL PWDR |
| VA PRODUCT IDENTIFIER |
O0254 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4026576 |
| EFFECTIVE DATE/TIME |
-
- 2007-10-10 00:00:00
- STATUS: ACTIVE
|
