| NAME |
LISDEXAMFETAMINE DIMESYLATE 40MG TAB,CHEWABLE |
| VA GENERIC NAME |
LISDEXAMFETAMINE |
| DOSAGE FORM |
TAB,CHEWABLE |
| FDA MED GUIDE |
Lisdexamfetamine_(Vyvanse)_(Oct_2021).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II Non-Narcotics |
| STRENGTH |
40 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
LISDEXAMFETAMINE TAB,CHEWABLE |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
1x Possible Dosage |
| PACKAGE |
Both Inpatient and Outpatient |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LISDEXAMFETAMINE DIMESYLATE 40MG CHEW TB |
| VA PRODUCT IDENTIFIER |
L0726 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036480 |
| EFFECTIVE DATE/TIME |
-
- 2017-03-16 00:00:00
- STATUS: ACTIVE
|
