CLOMIPHENE CITRATE 50MG TAB,UD (21746)    VA PRODUCT (50.68)

Name Value
NAME CLOMIPHENE CITRATE 50MG TAB,UD
VA GENERIC NAME CLOMIPHENE
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2020-03-16 00:00:00
UNITS MG
NATIONAL FORMULARY NAME CLOMIPHENE TAB
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 CLOMIPHENE CITRATE 50MG TAB UD
VA PRODUCT IDENTIFIER C1443
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4029927
EFFECTIVE DATE/TIME
  • 2010-07-12 00:00:00
    STATUS:   ACTIVE
  • 2020-03-16 00:00:00
    STATUS:   INACTIVE