| NAME |
AMINOSALICYLIC ACID 4GM/PKT GRNL,RCNST-ORAL,EC |
| VA GENERIC NAME |
AMINOSALICYLIC ACID |
| DOSAGE FORM |
GRNL,RCNST-ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
4 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
GM/PKT |
| NATIONAL FORMULARY NAME |
AMINOSALICYLIC ACID GRNL,RCNST-ORAL,EC |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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 |
AMINOSALICYLIC ACID 4GM EC PKT |
| VA PRODUCT IDENTIFIER |
A1595 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030781 |
| EFFECTIVE DATE/TIME |
-
- 2011-07-12 00:00:00
- STATUS: ACTIVE
|
