| NAME |
NAPROXEN NA 60MG/SUMATRIPTAN SUCCINATE 10MG TAB |
| VA GENERIC NAME |
NAPROXEN/SUMATRIPTAN |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Naproxen-Sumatriptan_(Treximet)_(2019).pdf |
| FORMULARY DESIGNATOR |
PA-F |
| FORMULARY DESIGNATOR TEXT |
Dispense limit of 18 doses of oral triptans per month
|
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2019-03-18 00:00:00 |
| NATIONAL FORMULARY NAME |
NAPROXEN/SUMATRIPTAN 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 |
NAPROXEN NA 60MG/SUMATRIPTAN 10MG TAB |
| VA PRODUCT IDENTIFIER |
N0787 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036109 |
| EFFECTIVE DATE/TIME |
-
- 2016-10-13 00:00:00
- STATUS: ACTIVE
-
- 2019-03-18 00:00:00
- STATUS: INACTIVE
|
