TELAPREVIR 375MG TAB (22438)    VA PRODUCT (50.68)

Name Value
NAME TELAPREVIR 375MG TAB
VA GENERIC NAME TELAPREVIR
DOSAGE FORM TAB
FDA MED GUIDE Telaprevir_(Incivek)_(Oct_2013).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 375
INACTIVATION DATE 2011-09-08 00:00:00
UNITS MG
NATIONAL FORMULARY NAME TELAPREVIR 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 TELAPREVIR 375MG TAB
VA PRODUCT IDENTIFIER T0769
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4030716
EFFECTIVE DATE/TIME
  • 2011-06-06 00:00:00
    STATUS:   ACTIVE
  • 2011-09-08 00:00:00
    STATUS:   INACTIVE
  • 2011-09-08 00:00:00
    STATUS:   INACTIVE
  • 2011-09-08 00:00:00
    STATUS:   INACTIVE