CLOZAPINE (FAZACLO) 200MG TAB,RAPID DISINTEGRATING (21906)    VA PRODUCT (50.68)

Name Value
NAME CLOZAPINE (FAZACLO) 200MG TAB,RAPID DISINTEGRATING
VA GENERIC NAME CLOZAPINE (FAZACLO)
DOSAGE FORM TAB,RAPID DISINTEGRATE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2020-08-16 00:00:00
UNITS MG
NATIONAL FORMULARY NAME CLOZAPINE (FAZACLO) TAB,RAPID DISINTEGRATE
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
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 CLOZAPINE (FAZACLO) 200MG DISINT TAB
VA PRODUCT IDENTIFIER C1449
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4030105
EFFECTIVE DATE/TIME
  • 2010-09-08 00:00:00
    STATUS:   ACTIVE
  • 2020-08-16 00:00:00
    STATUS:   INACTIVE
  • 2020-08-16 00:00:00
    STATUS:   INACTIVE