DEXTROAMPHETAMINE ADIPATE 5MG/DEXTROAMPHETAMINE SO4 5MG CAP (2534) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROAMPHETAMINE ADIPATE 5MG/DEXTROAMPHETAMINE SO4 5MG CAP
VA GENERIC NAME	DEXTROAMPHETAMINE
DOSAGE FORM	CAP,ORAL
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	9
NATIONAL FORMULARY NAME	DEXTROAMPHETAMINE CAP,ORAL
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 CAP
VA PRODUCT IDENTIFIER	D0443
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4003115
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE 2007-10-10 00:00:00 STATUS: ACTIVE 2009-11-17 00:00:00 STATUS: INACTIVE 2009-11-17 00:00:00 STATUS: INACTIVE