METHYLPHENIDATE HCL (RITALIN LA) 60MG CAP,SA (25827)    VA PRODUCT (50.68)

Name Value
NAME METHYLPHENIDATE HCL (RITALIN LA) 60MG CAP,SA
VA GENERIC NAME METHYLPHENIDATE
DOSAGE FORM CAP,SA
FDA MED GUIDE Methylphenidate_SA_Cap_(Generic)_(2020).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II Non-Narcotics
STRENGTH 60
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2015-10-26 00:00:00
UNITS MG
NATIONAL FORMULARY NAME METHYLPHENIDATE CAP,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 METHYLPHENIDATE (RITALIN LA) 60MG SA CAP
VA PRODUCT IDENTIFIER M1066
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4034584
EFFECTIVE DATE/TIME
  • 2015-07-10 00:00:00
    STATUS:   ACTIVE