PYRANTEL PAMOATE 250MG TAB (23275)    VA PRODUCT (50.68)

Name Value
NAME PYRANTEL PAMOATE 250MG TAB
VA GENERIC NAME PYRANTEL
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2018-04-16 00:00:00
UNITS MG
NATIONAL FORMULARY NAME PYRANTEL TAB
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 PYRANTEL PAMOATE 250MG TAB
VA PRODUCT IDENTIFIER P1012
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4031709
EFFECTIVE DATE/TIME
  • 2012-10-05 00:00:00
    STATUS:   ACTIVE
  • 2018-04-16 00:00:00
    STATUS:   INACTIVE