| NAME |
TOLVAPTAN (EQV-SAMSCA) 15MG TAB |
| VA GENERIC NAME |
TOLVAPTAN |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Tolvaptan_(Generic)_(2020).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
15 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
TOLVAPTAN TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2019-04-19 00:00:00
- COPAY END DATE: 2020-10-21 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2020-10-22 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TOLVAPTAN (EQV-SAMSCA) 15MG TAB |
| VA PRODUCT IDENTIFIER |
T1018 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038327 |
| EFFECTIVE DATE/TIME |
-
- 2019-04-19 00:00:00
- STATUS: ACTIVE
|
