METHYLPHENIDATE HCL (EQV-APTENSIO XR) 15MG CAP,SA (30185)    VA PRODUCT (50.68)

Name Value
NAME METHYLPHENIDATE HCL (EQV-APTENSIO XR) 15MG CAP,SA
VA GENERIC NAME METHYLPHENIDATE
DOSAGE FORM CAP,SA
FDA MED GUIDE Methylphenidate_SA_(Aptensio XR)_(2019).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II Non-Narcotics
STRENGTH 15
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
NATIONAL FORMULARY NAME METHYLPHENIDATE CAP,SA
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2020-06-10 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME METHYLPHENID(EQV-APTENSIO XR)15MG SA CAP
VA PRODUCT IDENTIFIER M1239
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4039449
EFFECTIVE DATE/TIME
  • 2020-06-10 00:00:00
    STATUS:   ACTIVE