| NAME |
OMEPRAZOLE MAGNESIUM 2.5MG/PKT PWDR,ORAL |
| VA GENERIC NAME |
OMEPRAZOLE |
| DOSAGE FORM |
PWDR,RENST-ORAL |
| FDA MED GUIDE |
Omeprazole_(Prilosec)_(2022).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
2.5 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG/PKT |
| NATIONAL FORMULARY NAME |
OMEPRAZOLE PWDR,RENST-ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
OMEPRAZOLE MAGNESIUM 2.5MG/PKT ORAL PWDR |
| VA PRODUCT IDENTIFIER |
O0359 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4033640 |
| EFFECTIVE DATE/TIME |
-
- 2014-09-02 00:00:00
- STATUS: ACTIVE
|
