| NAME |
MILNACIPRAN 12.5MG X5/25MG X8/50MG X42 TITRATION PACK,55 |
| VA GENERIC NAME |
MILNACIPRAN |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Milnacipran_(Savella)_(2021).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
MILNACIPRAN TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
MILNACIPRAN 12.5MGX5/25X8/50X42 PACK 55 |
| VA PRODUCT IDENTIFIER |
M0925 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030279 |
| EFFECTIVE DATE/TIME |
-
- 2010-12-03 00:00:00
- STATUS: ACTIVE
|
