| NAME |
LEVETIRACETAM 15MG/ML/NACL 0.9% INJ,BAG,100ML |
| VA GENERIC NAME |
LEVETIRACETAM |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
15 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2014-05-27 00:00:00 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
LEVETIRACETAM INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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 |
LEVETIRACETAM 15MG/ML/NS INJ BAG 100ML |
| VA PRODUCT IDENTIFIER |
L0615 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
BAG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032945 |
| EFFECTIVE DATE/TIME |
-
- 2013-12-19 00:00:00
- STATUS: ACTIVE
|
