TELAPREVIR 375MG TAB,28 (22439)    VA PRODUCT (50.68)

Name Value
NAME TELAPREVIR 375MG TAB,28
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 2011-09-07 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,28
VA PRODUCT IDENTIFIER T0770
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKG
MASTER ENTRY FOR VUID YES
VUID 4030717
EFFECTIVE DATE/TIME
  • 2011-06-06 00:00:00
    STATUS:   ACTIVE
  • 2011-09-07 00:00:00
    STATUS:   INACTIVE
  • 2011-09-07 00:00:00
    STATUS:   INACTIVE
  • 2011-09-07 00:00:00
    STATUS:   INACTIVE
  • 2011-09-07 00:00:00
    STATUS:   INACTIVE