| NAME |
ISOTRETINOIN (EQV-ABSORICA) 30MG CAP |
| VA GENERIC NAME |
ISOTRETINOIN |
| DOSAGE FORM |
CAP,ORAL |
| FDA MED GUIDE |
Isotretinoin_(Absorica_Absorica_LD)_(Oct_2019).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| DOT SHIPPING CODE |
|
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
30 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
ISOTRETINOIN CAP,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ISOTRETINOIN (EQV-ABSORICA) 30MG CAP |
| VA PRODUCT IDENTIFIER |
I0561 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
CAP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032623 |
| EFFECTIVE DATE/TIME |
-
- 2013-08-19 00:00:00
- STATUS: ACTIVE
|
