GUANFACINE 1MG 24HR TAB,SA (21739)    VA PRODUCT (50.68)

Name Value
NAME GUANFACINE 1MG 24HR TAB,SA
VA GENERIC NAME GUANFACINE
DOSAGE FORM TAB,SA
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
NATIONAL FORMULARY NAME GUANFACINE TAB,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 NO
PGX SUPPRESSED NO
VA PRINT NAME GUANFACINE 1MG 24HR SA TAB
VA PRODUCT IDENTIFIER G0338
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4029920
EFFECTIVE DATE/TIME
  • 2010-07-12 00:00:00
    STATUS:   ACTIVE