CLOZAPINE (ACTAVIS) 25MG TAB (26452)    VA PRODUCT (50.68)

Name Value
NAME CLOZAPINE (ACTAVIS) 25MG TAB
VA GENERIC NAME CLOZAPINE (ACTAVIS)
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 25
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2019-03-18 00:00:00
UNITS MG
NATIONAL FORMULARY NAME CLOZAPINE (ACTAVIS) TAB
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 CLOZAPINE (ACTAVIS) 25MG TAB
VA PRODUCT IDENTIFIER C1751
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4035276
EFFECTIVE DATE/TIME
  • 2016-01-13 00:00:00
    STATUS:   ACTIVE
  • 2019-03-18 00:00:00
    STATUS:   INACTIVE