| NAME |
FENTANYL 400MCG TAB,UD,SUBLINGUAL |
| VA GENERIC NAME |
FENTANYL |
| DOSAGE FORM |
TAB,SUBLINGUAL |
| FDA MED GUIDE |
Fentanyl_SL_Tab_(Abstral)_(2019).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II |
| STRENGTH |
400 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2020-02-18 00:00:00 |
| UNITS |
MCG |
| NATIONAL FORMULARY NAME |
FENTANYL TAB,SUBLINGUAL |
| 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 |
FENTANYL 400MCG SUBLINGUAL TAB UD |
| VA PRODUCT IDENTIFIER |
F0487 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030372 |
| EFFECTIVE DATE/TIME |
-
- 2011-02-09 00:00:00
- STATUS: ACTIVE
-
- 2020-02-18 00:00:00
- STATUS: INACTIVE
|
