MELATONIN 3MG TAB,SA (29710)    VA PRODUCT (50.68)

Name Value
NAME MELATONIN 3MG TAB,SA
VA GENERIC NAME MELATONIN
DOSAGE FORM TAB,SA
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR TEXT 
Certified Product Only
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 3
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME MELATONIN 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:   2019-11-06 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MELATONIN 3MG SA TAB
VA PRODUCT IDENTIFIER M1226
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4038901
EFFECTIVE DATE/TIME
  • 2019-11-07 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2022-04-26 00:00:00
    STATUS:   ACTIVE