DEXTROAMPHETAMINE ADIPATE 5MG/DEXTROAMPHETAMINE SO4 5MG TAB (2533) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROAMPHETAMINE ADIPATE 5MG/DEXTROAMPHETAMINE SO4 5MG TAB
VA GENERIC NAME	DEXTROAMPHETAMINE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DEXTROAMPHETAMINE SULFATE STRENGTH: 5 UNITS: MG DEXTROAMPHETAMINE ADIPATE STRENGTH: 5 UNITS: MG
CS FEDERAL SCHEDULE	Schedule II Non-Narcotics
INACTIVATION DATE	2009-11-17 00:00:00
DSS NUMBER	8
NATIONAL FORMULARY NAME	DEXTROAMPHETAMINE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
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	DEXTROAMPHETAMINE ADIPATE/SO4 10MG TAB
VA PRODUCT IDENTIFIER	D0444
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4003114
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-11-17 00:00:00 STATUS: INACTIVE