| NAME |
SEVELAMER CARBONATE 0.8GM/PKT PWDR |
| VA GENERIC NAME |
SEVELAMER CARBONATE |
| DOSAGE FORM |
PWDR,RENST-ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.8 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
GM |
| NATIONAL FORMULARY NAME |
SEVELAMER CARBONATE PWDR,RENST-ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2017-07-31 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-08-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SEVELAMER CARBONATE 0.8GM/PKT PWDR |
| VA PRODUCT IDENTIFIER |
S0641 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4029453 |
| EFFECTIVE DATE/TIME |
-
- 2009-12-04 00:00:00
- STATUS: ACTIVE
|
