LOPERAMIDE HCL 2MG/SIMETHICONE 125MG TAB (30509) VA PRODUCT (50.68)

Name	Value
NAME	LOPERAMIDE HCL 2MG/SIMETHICONE 125MG TAB
VA GENERIC NAME	LOPERAMIDE/SIMETHICONE
DOSAGE FORM	TAB,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	SIMETHICONE STRENGTH: 125 UNITS: MG LOPERAMIDE HYDROCHLORIDE STRENGTH: 2 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	LOPERAMIDE/SIMETHICONE TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-11-03 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	LOPERAMIDE 2MG/SIMETHICONE 125MG TAB
VA PRODUCT IDENTIFIER	L0869
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4039808
EFFECTIVE DATE/TIME	2020-11-03 00:00:00 STATUS: ACTIVE 2020-11-03 00:00:00 STATUS: ACTIVE 2020-11-03 00:00:00 STATUS: ACTIVE