| NAME |
VALBENAZINE 40MG X 7/80MG X 21 STARTER PACK,28 |
| VA GENERIC NAME |
VALBENAZINE |
| DOSAGE FORM |
CAP,ORAL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
VALBENAZINE CAP,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2019-05-02 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
VALBENAZINE 40MGX7/80MGX21 PACK,28 |
| VA PRODUCT IDENTIFIER |
V0305 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038345 |
| EFFECTIVE DATE/TIME |
-
- 2019-05-02 00:00:00
- STATUS: ACTIVE
|
