| NAME |
CLOBAZAM 20MG TAB,ORAL |
| VA GENERIC NAME |
CLOBAZAM |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Clobazam_Tab_(Generic)_(2021).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule IV |
| STRENGTH |
20 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
CLOBAZAM TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2018-10-31 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2018-11-01 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CLOBAZAM 20MG ORAL TAB |
| VA PRODUCT IDENTIFIER |
C1499 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4031126 |
| EFFECTIVE DATE/TIME |
-
- 2011-12-09 00:00:00
- STATUS: ACTIVE
|
