| NAME |
SELEXIPAG 200MCG TAB |
| VA GENERIC NAME |
SELEXIPAG |
| DOSAGE FORM |
TAB |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
200 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MCG |
| NATIONAL FORMULARY NAME |
SELEXIPAG TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SELEXIPAG 200MCG TAB |
| VA PRODUCT IDENTIFIER |
S0794 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035280 |
| EFFECTIVE DATE/TIME |
-
- 2016-01-13 00:00:00
- STATUS: ACTIVE
|
