ASPIRIN 81MG/OMEPRAZOLE 40MG TAB,EC (27191)    VA PRODUCT (50.68)

Name Value
NAME ASPIRIN 81MG/OMEPRAZOLE 40MG TAB,EC
VA GENERIC NAME ASPIRIN/OMEPRAZOLE
DOSAGE FORM TAB,EC
FDA MED GUIDE Aspirin-Omeprazole_(Generic)_(2018).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME ASPIRIN/OMEPRAZOLE TAB,EC
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2018-12-27 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2018-12-28 00:00:00
PGX ELIGIBLE YES
PGX SUPPRESSED NO
VA PRINT NAME ASPIRIN 81MG/OMEPRAZOLE 40MG EC TAB
VA PRODUCT IDENTIFIER A1913
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4036078
EFFECTIVE DATE/TIME
  • 2016-09-29 00:00:00
    STATUS:   ACTIVE
  • 2019-02-19 00:00:00
    STATUS:   INACTIVE
  • 2019-04-02 00:00:00
    STATUS:   ACTIVE