CENOBAMATE 50MG X 28/200MG X 28 MAINTENANCE PACK,56 (30043)    VA PRODUCT (50.68)

Name Value
NAME CENOBAMATE 50MG X 28/200MG X 28 MAINTENANCE PACK,56
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
INACTIVATION DATE 2021-11-15 00:00:00
NATIONAL FORMULARY NAME CENOBAMATE TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
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 50MGX28/200MGX28 PACK 56
VA PRODUCT IDENTIFIER C1939
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4039282
EFFECTIVE DATE/TIME
  • 2020-04-02 00:00:00
    STATUS:   ACTIVE
  • 2021-11-15 00:00:00
    STATUS:   INACTIVE