| NAME |
LAMOTRIGINE 25MG,14/LAM 50MG,14/LAM 100MG,7 TAB,ODT DOSE PACK |
| VA GENERIC NAME |
LAMOTRIGINE |
| DOSAGE FORM |
TAB,ORAL DISINTEGRATING |
| FDA MED GUIDE |
Lamotrigine_ODT_(Generic)_(2021).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
LAMOTRIGINE TAB,ORAL DISINTEGRATING |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LAMOTRIGINE 25MG,14/50MG,14/100MG,7 ODT |
| VA PRODUCT IDENTIFIER |
L0684 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035121 |
| EFFECTIVE DATE/TIME |
-
- 2015-11-24 00:00:00
- STATUS: ACTIVE
|
