AMANTADINE 193MG TAB,SA (28553)    VA PRODUCT (50.68)

Name Value
NAME AMANTADINE 193MG TAB,SA
VA GENERIC NAME AMANTADINE
DOSAGE FORM TAB,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 193
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME AMANTADINE TAB,SA
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2018-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME AMANTADINE 193MG SA TAB
VA PRODUCT IDENTIFIER A1979
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4037578
EFFECTIVE DATE/TIME
  • 2018-05-31 00:00:00
    STATUS:   ACTIVE
  • 2018-05-31 00:00:00
    STATUS:   ACTIVE