| NAME |
LORCASERIN HCL 20MG 24HR TAB,SA |
| VA GENERIC NAME |
LORCASERIN |
| DOSAGE FORM |
TAB,SA |
| FORMULARY DESIGNATOR |
PA-F |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Schedule IV |
| STRENGTH |
20 |
| INACTIVATION DATE |
2020-04-15 00:00:00 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
LORCASERIN TAB,SA |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
1x Possible Dosage |
| PACKAGE |
Both Inpatient and Outpatient |
| 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 |
LORCASERIN HCL 20MG 24HR SA TAB |
| VA PRODUCT IDENTIFIER |
L0712 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036045 |
| EFFECTIVE DATE/TIME |
-
- 2016-09-22 00:00:00
- STATUS: ACTIVE
-
- 2020-04-15 00:00:00
- STATUS: INACTIVE
|
