| NAME |
METHENAMINE TAB FOR TIMED BURNING (DO NOT TAKE) |
| VA GENERIC NAME |
METHENAMINE |
| DOSAGE FORM |
TAB |
| FORMULARY DESIGNATOR |
R |
| NATIONAL FORMULARY INDICATOR |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| DSS NUMBER |
12 |
| NATIONAL FORMULARY NAME |
METHENAMINE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
METHENAMINE TAB-TIMED BURN - DO NOT TAKE |
| VA PRODUCT IDENTIFIER |
XX218 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4002580 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
