ARIPIPRAZOLE MYCITE 10MG MAINT KIT (30968)    VA PRODUCT (50.68)

Name Value
NAME ARIPIPRAZOLE MYCITE 10MG MAINT KIT
VA GENERIC NAME ARIPIPRAZOLE
DOSAGE FORM KIT
FDA MED GUIDE Aripiprazole_(Abilify_Mycite)_(2020).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME ARIPIPRAZOLE KIT
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-04-01 00:00:00
PGX ELIGIBLE YES
PGX SUPPRESSED NO
VA PRINT NAME ARIPIPRAZOLE MYCITE 10MG MAINT KIT
VA PRODUCT IDENTIFIER A2083
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4040308
EFFECTIVE DATE/TIME
  • 2021-04-01 00:00:00
    STATUS:   ACTIVE
  • 2021-04-01 00:00:00
    STATUS:   ACTIVE
  • 2021-04-01 00:00:00
    STATUS:   ACTIVE