TRIMIPRAMINE MALEATE 100MG TAB (2818)    VA PRODUCT (50.68)

Name Value
NAME TRIMIPRAMINE MALEATE 100MG TAB
VA GENERIC NAME TRIMIPRAMINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
INACTIVATION DATE 2002-10-24 00:00:00
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME TRIMIPRAMINE TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRIMIPRAMINE MALEATE 100MG TAB
VA PRODUCT IDENTIFIER T0121
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4003397
EFFECTIVE DATE/TIME
  • 2002-10-24 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE