DEXMETHYLPHENIDATE HCL 20MG TAB,SA (19141)    VA PRODUCT (50.68)

Name Value
NAME DEXMETHYLPHENIDATE HCL 20MG TAB,SA
VA GENERIC NAME DEXMETHYLPHENIDATE
DOSAGE FORM TAB,SA
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II Non-Narcotics
STRENGTH 20
INACTIVATION DATE 2010-02-18 00:00:00
UNITS MG
NATIONAL FORMULARY NAME DEXMETHYLPHENIDATE TAB,SA
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 DEXMETHYLPHENIDATE HCL 20MG SA TAB
VA PRODUCT IDENTIFIER D0767
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4026989
EFFECTIVE DATE/TIME
  • 2008-02-05 00:00:00
    STATUS:   ACTIVE
  • 2010-02-18 00:00:00
    STATUS:   INACTIVE