| NAME |
CROFELEMER 125MG TAB,EC |
| VA GENERIC NAME |
CROFELEMER |
| DOSAGE FORM |
TAB,EC |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
125 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
CROFELEMER TAB,EC |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
1x Possible Dosage |
| PACKAGE |
Both Inpatient and Outpatient |
| 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 |
CROFELEMER 125MG EC TAB |
| VA PRODUCT IDENTIFIER |
C1552 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032215 |
| EFFECTIVE DATE/TIME |
-
- 2013-03-14 00:00:00
- STATUS: ACTIVE
|
