| NAME |
DEXMETHYLPHENIDATE HCL 15MG TAB,SA |
| VA GENERIC NAME |
DEXMETHYLPHENIDATE |
| DOSAGE FORM |
TAB,SA |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II Non-Narcotics |
| STRENGTH |
15 |
| INACTIVATION DATE |
2010-02-18 00:00:00 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
DEXMETHYLPHENIDATE TAB,SA |
| 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 |
DEXMETHYLPHENIDATE HCL 15MG SA TAB |
| VA PRODUCT IDENTIFIER |
D0766 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4026988 |
| EFFECTIVE DATE/TIME |
-
- 2008-02-05 00:00:00
- STATUS: ACTIVE
-
- 2010-02-18 00:00:00
- STATUS: INACTIVE
|
