| NAME |
CYCLOSPORINE (GENGRAF) 50MG CAP,UD |
| VA GENERIC NAME |
CYCLOSPORINE |
| DOSAGE FORM |
CAP,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
50 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2018-08-15 00:00:00 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
CYCLOSPORINE CAP,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-09-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CYCLOSPORINE (GENGRAF) 50MG CAP UD |
| VA PRODUCT IDENTIFIER |
C1833 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
CAP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036807 |
| EFFECTIVE DATE/TIME |
-
- 2017-07-14 00:00:00
- STATUS: ACTIVE
-
- 2018-08-15 00:00:00
- STATUS: INACTIVE
|
