DESVENLAFAXINE (EQV-KHEDEZLA) 100MG TAB,SA (24455)    VA PRODUCT (50.68)

Name Value
NAME DESVENLAFAXINE (EQV-KHEDEZLA) 100MG TAB,SA
VA GENERIC NAME DESVENLAFAXINE
DOSAGE FORM TAB,SA
FDA MED GUIDE Desvenlafaxine_XR_(Generic)_(2021).pdf
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2020-08-16 00:00:00
UNITS MG
NATIONAL FORMULARY NAME DESVENLAFAXINE TAB,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 DESVENLAFAXINE (EQ-KHEDEZLA) 100MG SA TB
VA PRODUCT IDENTIFIER D1001
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4033031
EFFECTIVE DATE/TIME
  • 2014-01-28 00:00:00
    STATUS:   ACTIVE
  • 2020-08-16 00:00:00
    STATUS:   INACTIVE
  • 2020-08-16 00:00:00
    STATUS:   INACTIVE