| NAME |
RIBAVIRIN 400MG TAB DOSEPACK,14 |
| VA GENERIC NAME |
RIBAVIRIN |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Ribavirin_Tab_(Generic)_(2020).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| DOT SHIPPING CODE |
|
| FORMULARY DESIGNATOR |
R |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
400 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2019-05-16 00:00:00 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
RIBAVIRIN TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
1x Possible Dosage |
| PACKAGE |
Both Inpatient and Outpatient |
| 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 |
RIBAVIRIN 400MG TAB DOSEPACK 14 |
| VA PRODUCT IDENTIFIER |
R0329 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4033006 |
| EFFECTIVE DATE/TIME |
-
- 2014-01-24 00:00:00
- STATUS: ACTIVE
-
- 2019-05-16 00:00:00
- STATUS: INACTIVE
|
