PHENYTOIN NA,EXTENDED 100MG CAP,SA (1923)    VA PRODUCT (50.68)

Name Value
NAME PHENYTOIN NA,EXTENDED 100MG CAP,SA
VA GENERIC NAME PHENYTOIN
DOSAGE FORM CAP,SA
FDA MED GUIDE Phenytoin_SA_Cap_(Generic)_(2021).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 10
NATIONAL FORMULARY NAME PHENYTOIN CAP,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 YES
PGX SUPPRESSED NO
VA PRINT NAME PHENYTOIN NA 100MG SA CAP
VA PRODUCT IDENTIFIER P0980
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4002508
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2011-07-12 00:00:00
    STATUS:   ACTIVE