| NAME |
SECNIDAZOLE 2GM/PKT GRANULES |
| VA GENERIC NAME |
SECNIDAZOLE |
| DOSAGE FORM |
GRANULES |
| FORMULARY DESIGNATOR |
PA-F |
| FORMULARY DESIGNATOR TEXT |
restricted to Women's Health
|
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
2 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
GM/PKT |
| NATIONAL FORMULARY NAME |
SECNIDAZOLE GRANULES |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2018-03-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SECNIDAZOLE 2GM/PKT GRANULES |
| VA PRODUCT IDENTIFIER |
S0838 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037215 |
| EFFECTIVE DATE/TIME |
-
- 2018-01-12 00:00:00
- STATUS: ACTIVE
|
