MILNACIPRAN 12.5MG X5/25MG X8/50MG X29 TITRATION PACK,42 (21989)    VA PRODUCT (50.68)

Name Value
NAME MILNACIPRAN 12.5MG X5/25MG X8/50MG X29 TITRATION PACK,42
VA GENERIC NAME MILNACIPRAN
DOSAGE FORM TAB
FDA MED GUIDE Milnacipran_(Savella)_(2021).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-11-17 00:00:00
NATIONAL FORMULARY NAME MILNACIPRAN 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 MILNACIPRAN 12.5MGX5/25X8/50X29 PACK 42
VA PRODUCT IDENTIFIER M0920
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4030202
EFFECTIVE DATE/TIME
  • 2010-10-13 00:00:00
    STATUS:   ACTIVE
  • 2010-11-17 00:00:00
    STATUS:   INACTIVE