| NAME |
CLOBAZAM 5MG FILM,ORAL |
| VA GENERIC NAME |
CLOBAZAM |
| DOSAGE FORM |
FILM,ORAL |
| FDA MED GUIDE |
Clobazam_Film_(Sympazan)_(2023).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule IV |
| STRENGTH |
5 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
CLOBAZAM FILM,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2018-11-15 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CLOBAZAM 5MG ORAL FILM |
| VA PRODUCT IDENTIFIER |
C1873 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037982 |
| EFFECTIVE DATE/TIME |
-
- 2018-11-19 00:00:00
- STATUS: ACTIVE
|
