| NAME |
VILAZODONE HCL 10MG X 7/20MG X 23 STARTER PACK,30 |
| VA GENERIC NAME |
VILAZODONE |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Vilazodone_(Viibryd)_(2021).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
VILAZODONE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2022-06-08 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2022-06-09 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
VILAZODONE HCL 10MGX7/20MGX23 PACK 30 |
| VA PRODUCT IDENTIFIER |
V0265 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034448 |
| EFFECTIVE DATE/TIME |
-
- 2015-05-14 00:00:00
- STATUS: ACTIVE
|
