GABAPENTIN (GRALISE) 300MG X 9/600MG X 69 TAB,SA,78 (26368)    VA PRODUCT (50.68)

Name Value
NAME GABAPENTIN (GRALISE) 300MG X 9/600MG X 69 TAB,SA,78
VA GENERIC NAME GABAPENTIN
DOSAGE FORM TAB,SA
FDA MED GUIDE Gabapentin_(Gralise)_(2023).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2020-11-16 00:00:00
NATIONAL FORMULARY NAME GABAPENTIN TAB,SA
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 GABAPENTIN (GRALISE) 300/600MG SA TAB 78
VA PRODUCT IDENTIFIER G0424
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4035178
EFFECTIVE DATE/TIME
  • 2015-12-10 00:00:00
    STATUS:   ACTIVE
  • 2020-11-16 00:00:00
    STATUS:   INACTIVE
  • 2020-11-16 00:00:00
    STATUS:   INACTIVE
  • 2020-11-16 00:00:00
    STATUS:   INACTIVE