INDOMETHACIN 75MG CAP (2087)    VA PRODUCT (50.68)

Name Value
NAME INDOMETHACIN 75MG CAP
VA GENERIC NAME INDOMETHACIN
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 75
INACTIVATION DATE 2002-12-06 00:00:00
UNITS MG
DSS NUMBER 7
NATIONAL FORMULARY NAME INDOMETHACIN CAP,ORAL
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 INDOMETHACIN 75MG CAP
VA PRODUCT IDENTIFIER I0091
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4002670
EFFECTIVE DATE/TIME
  • 2002-12-06 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE