| NAME |
CENOBAMATE 12.5MG X 14/25MG X 14 TITRATION PACK,28 |
| VA GENERIC NAME |
CENOBAMATE |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Cenobamate_(Xcopri)_(2020).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule V |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
CENOBAMATE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2020-04-02 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CENOBAMATE 12.5MGX14/25MGX14 PACK 28 |
| VA PRODUCT IDENTIFIER |
C1932 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039275 |
| EFFECTIVE DATE/TIME |
-
- 2020-04-02 00:00:00
- STATUS: ACTIVE
|
