ARTEMETHER 20MG/LUMEFANTRINE 120MG TAB,PKT,24 (20642)    VA PRODUCT (50.68)

Name Value
NAME ARTEMETHER 20MG/LUMEFANTRINE 120MG TAB,PKT,24
VA GENERIC NAME ARTEMETHER/LUMEFANTRINE
DOSAGE FORM TAB,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME ARTEMETHER/LUMEFANTRINE TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ARTEMETHER 20/LUMEFANTRINE 120MG TAB,24
VA PRODUCT IDENTIFIER A1490
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4028667
EFFECTIVE DATE/TIME
  • 2009-06-10 00:00:00
    STATUS:   ACTIVE