SAPROPTERIN DIHYDROCHLORIDE 10MG TAB (19173)    VA PRODUCT (50.68)

Name Value
NAME SAPROPTERIN DIHYDROCHLORIDE 10MG TAB
VA GENERIC NAME SAPROPTERIN
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
INACTIVATION DATE 2010-02-17 00:00:00
UNITS MG
NATIONAL FORMULARY NAME SAPROPTERIN 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 SAPROPTERIN DIHYDROCHLORIDE 10MG TAB
VA PRODUCT IDENTIFIER S0555
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4027021
EFFECTIVE DATE/TIME
  • 2008-02-05 00:00:00
    STATUS:   ACTIVE
  • 2010-02-17 00:00:00
    STATUS:   INACTIVE