| NAME |
PERAMPANEL 4MG TAB |
| VA GENERIC NAME |
PERAMPANEL |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Perampanel_(Fycompa)_(2019).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule III Non-Narcotics |
| STRENGTH |
4 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
PERAMPANEL TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| 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 |
PERAMPANEL 4MG TAB |
| VA PRODUCT IDENTIFIER |
P1065 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032975 |
| EFFECTIVE DATE/TIME |
-
- 2014-01-17 00:00:00
- STATUS: ACTIVE
|
