TACROLIMUS (ENVARSUS XR) 0.75MG CAP,SA (26044)    VA PRODUCT (50.68)

Name Value
NAME TACROLIMUS (ENVARSUS XR) 0.75MG CAP,SA
VA GENERIC NAME TACROLIMUS
DOSAGE FORM CAP,SA
FDA MED GUIDE Tacrolimus_ER_Cap_(Envarsus_XR)_(2015).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.75
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2015-12-15 00:00:00
UNITS MG
NATIONAL FORMULARY NAME TACROLIMUS CAP,SA
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TACROLIMUS (ENVARSUS XR) 0.75MG SA CAP
VA PRODUCT IDENTIFIER T0904
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4034826
EFFECTIVE DATE/TIME
  • 2015-09-18 00:00:00
    STATUS:   ACTIVE