AMPHETAMINE/DEXTROAMPHETAMINE 12.5MG TAB (24265)    VA PRODUCT (50.68)

Name Value
NAME AMPHETAMINE/DEXTROAMPHETAMINE 12.5MG TAB
VA GENERIC NAME AMPHETAMINE/DEXTROAMPHETAMINE
DOSAGE FORM TAB
FDA MED GUIDE Amphetamine-Dextroamphetamine_(Generic)_(2015).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II Non-Narcotics
STRENGTH 12.5
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
NATIONAL FORMULARY NAME AMPHETAMINE/DEXTROAMPHETAMINE TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
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 AMPHETAMINE/DEXTROAMPHETAMINE 12.5MG TAB
VA PRODUCT IDENTIFIER A1730
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4032817
EFFECTIVE DATE/TIME
  • 2013-10-21 00:00:00
    STATUS:   ACTIVE