AMPHETAMINE/DEXTROAMPHETAMINE 5MG TAB UD (26937)    VA PRODUCT (50.68)

Name Value
NAME AMPHETAMINE/DEXTROAMPHETAMINE 5MG TAB UD
VA GENERIC NAME AMPHETAMINE/DEXTROAMPHETAMINE
DOSAGE FORM TAB
FDA MED GUIDE Amphetamine-Dextroamphetamine_(Generic)_(2015).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II Non-Narcotics
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2016-09-29 00:00:00
NATIONAL FORMULARY NAME AMPHETAMINE/DEXTROAMPHETAMINE 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 AMPHETAMINE/DEXTROAMPHETAMINE 5MG TAB UD
VA PRODUCT IDENTIFIER A1898
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4035794
EFFECTIVE DATE/TIME
  • 2016-06-09 00:00:00
    STATUS:   ACTIVE