TOPIRAMATE 25MG CAP,SA (24128)    VA PRODUCT (50.68)

Name Value
NAME TOPIRAMATE 25MG CAP,SA
VA GENERIC NAME TOPIRAMATE
DOSAGE FORM CAP,SA
FDA MED GUIDE Topiramate_SA_Cap_(Trokendi_XR)_(2017).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 25
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2017-07-17 00:00:00
UNITS MG
NATIONAL FORMULARY NAME TOPIRAMATE CAP,SA
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
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 TOPIRAMATE 25MG SA CAP
VA PRODUCT IDENTIFIER T0831
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4032666
EFFECTIVE DATE/TIME
  • 2013-08-29 00:00:00
    STATUS:   ACTIVE